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Individual

KERLANDE BEAUPLAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
13873 AZALEA CIR APT 202, TAMPA, FL 33613-3818
(239) 738-2889
Mailing address
13873 AZALEA CIR APT 202, TAMPA, FL 33613-3818
(239) 738-2889

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
L18000046900
FL

Other

Enumeration date
06/04/2018
Last updated
06/04/2018
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