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Organization
TRINITY CLINICAL SERVICES LLC
Active
Organization
TRINITY CLINICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KETSIA AURELIEN A-GNP-C (NURSE PRACTITIONER)
(786) 459-4226
Entity
Organization
Contact information
Practice address
5089 SAN IGNACIO DR, SEBRING, FL 33872-1760
(786) 459-4226
(458) 200-3014
Mailing address
28 E MAIN ST UNIT 126, AVON PARK, FL 33825-3943
(786) 459-4226
(458) 200-3014
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
Other
Enumeration date
04/10/2023
Last updated
06/19/2024
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