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Individual

PHILIP ATANMO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2020 26TH AVE E, BRADENTON, FL 34208-7753
(941) 782-4600
Mailing address
1805 SWANNANOA DR, GREENSBORO, NC 27410-3933
(330) 604-1614

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11012815
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
5019503
NC

Other

Enumeration date
04/08/2021
Last updated
07/30/2024
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