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Individual

ALICIA D OWENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
501 BROOKER CREEK BLVD STE A-400, OLDSMAR, FL 34677-2966
(813) 219-1053
Mailing address
1459 SCR 516 S, RALEIGH, MS 39153-6152
(601) 383-2303

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
902977
MS

Other

Enumeration date
11/08/2023
Last updated
11/10/2023
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