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1982165940
TASSANIDA THUMMACHAROEN
HIALEAH, FL
NPI
1982165940
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL F11180978)
Enumeration Date
2019-03-30
Last Update Date
2019-03-30
Business Address
TASSANIDA THUMMACHAROEN APRN
6429 NW 171ST ST
HIALEAH, FL 33015-4615
Phone number: 305-788-7815
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Mailing Address
TASSANIDA THUMMACHAROEN APRN
6429 NW 171ST ST
HIALEAH, FL 33015-4615
Phone number: 305-788-7815
Copy
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