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Individual

TAYEBEH ASAD SANGABI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1 INNIS BROOK LANE, BRENTWOOD, TN 37027
(954) 740-9808
Mailing address
1 INNIS BROOK LANE, BRENTWOOD, TN 37027

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP2772972
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
303831900
FL
Enumeration date
02/28/2006
Last updated
09/14/2007
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