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Individual

AMANDA MARIE DEBRUIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARM.D., BCPS, CGP

Contact information

Practice address
12901 BRUCE B DOWNS BLVD, MDC 13, TAMPA, FL 33612-4742
(813) 974-2445
Mailing address
12901 BRUCE B DOWNS BLVD, MDC 13, TAMPA, FL 33612-4742

Taxonomy

Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
PS38774
FL

Other

Enumeration date
09/13/2005
Last updated
06/28/2010
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