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Individual

MS. THERESA DURANT

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
13000 BRUCE B. DOWNS BLVD, JAMES A. HALEY VA HOSPITAL, S, TAMPA, FL 33612-4799
(813) 972-2000
(813) 978-5913
Mailing address
4403 W ESTRELLA ST, TAMPA, FL 33629-5513

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
3113952
FL

Other

Enumeration date
03/21/2006
Last updated
07/08/2007
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