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Individual

MRS. SHANNON ROSBOROUGH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
16003 RIDLEY PL, TAMPA, FL 33647-2050
(910) 381-1178
Mailing address
16003 RIDLEY PL, TAMPA, FL 33647-2050
(910) 381-1178

Taxonomy

Speciality
Code
Description
License number
State
2865M2000X
Military General Acute Care Hospital
Primary
RN9359274
FL

Other

Enumeration date
02/08/2014
Last updated
02/08/2014
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