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Individual

MS. DAWN ULLOM

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
A.R.N.P

Contact information

Practice address
119 OAKFIELD DR, BRANDON, FL 33511-5779
(813) 681-5551
Mailing address
14050 NW 14TH ST, SUITE 190, SUNRISE, FL 33323-2865
(800) 424-3672
(954) 377-3042

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
S65655
FL

Other

Enumeration date
06/21/2006
Last updated
07/08/2007
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