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Individual

ASHLEY B CORN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
1920 LAKELAND HILLS BLVD, LAKELAND, FL 33805-2902
(863) 683-4661
(863) 683-2579
Mailing address
5206 ASHWOOD DR, LAKELAND, FL 33811-1645
(863) 370-7557
(863) 683-2579

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP9244690
FL

Other

Enumeration date
09/04/2012
Last updated
09/04/2012
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