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Individual

MRS. SHERON ANGELA BYGRAVES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
6425 CANTON ST S, ST PETERSBURG, FL 33712-5560
(727) 865-0374
Mailing address
6425 CANTON ST S, ST PETERSBURG, FL 33712-5560
(727) 865-0374

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5153429
FL

Other

Enumeration date
05/31/2008
Last updated
05/31/2008
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