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Individual

MRS. TUWANA FAYE PHELPS-KEATON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNOR CRNFA

Contact information

Practice address
1540 S TAMIAMI TRL STE 303, SARASOTA, FL 34239-2921
(941) 917-8791
(941) 917-8793
Mailing address
1000 WATERMAN WAY, TAVARES, FL 32778-5266
(352) 253-3202

Taxonomy

Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
RN 225630
OH
163WR0006X
Registered Nurse First Assistant
Primary
RN 9290628
FL

Other

Enumeration date
01/30/2008
Last updated
01/16/2013
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