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1013971696
KANUENGNIJ SORNMAYURA
MIAMI, FL
NPI
1013971696
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: FL ARNP2123392)
Enumeration Date
2006-04-12
Last Update Date
2013-01-29
Business Address
-- KANUENGNIJ SORNMAYURA ARNP
1666 NW 12TH AVE BOX 016960 (M851)
MIAMI, FL 33101-6960
Phone number: 305-585-5224
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Mailing Address
-- KANUENGNIJ SORNMAYURA ARNP
1666 NW 12TH AVE BOX 016960 (M851)
MIAMI, FL 33101-6960
Phone number: 305-585-5224
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