Provider Information for 1568698488
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YVETTE NOLTING
Sex: Female
NPI: 1568698488
Last Updated: 2009-06-05
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1568698488 | ||||||||
| Enumeration Date | 2009-06-05 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 5707 N 22ND ST TAMPA, FL 33610-4350 United States Phone: 813-239-8000 | Fax:813-272-3766 | ||||||||
| Primary Practice Address | 5707 N 22ND ST TAMPA, FL 33610-4350 United States Phone: 813-239-8000 | Fax:813-272-3766 | ||||||||
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