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Individual

ROSANGELA SANTOS-KOLP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
4178 GATOR TRACE VILLAS CIR APT B, FORT PIERCE, FL 34982-5279
(772) 971-8830
Mailing address
4178 GATOR TRACE VILLAS CIR APT B, FORT PIERCE, FL 34982-5279
(772) 971-8830

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5203542
FL

Other

Enumeration date
05/16/2018
Last updated
05/16/2018
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