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1992126726
ELYSSA EMILY PENA
TAMPA, FL
NPI
1992126726
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2013-12-20
Last Update Date
2013-12-20
Business Address
-- ELYSSA EMILY PENA B.A
12512 BRUCE B. DOWNS BLVD
TAMPA, FL 33612
Phone number: 813-977-8700
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Mailing Address
-- ELYSSA EMILY PENA B.A
16705 WHISPERING GLEN DR.
LUTZ, FL 33558
Phone number:
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