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Individual

MS. AMY R STROUP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN, LMT, FACIALIST

Contact information

Practice address
5460 N STATE ROAD 7 STE 217, FORT LAUDERDALE, FL 33319-2969
(954) 895-2697
Mailing address
9124 NW 35TH PL, SUNRISE, FL 33351-6400
(954) 895-2697

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
PN0547061
FL
247200000X
Other Technician
Primary
MA29603
FL

Other

Enumeration date
03/15/2012
Last updated
03/15/2012
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