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1063714178
JOSE J DERGAN P. A
DORAL, FL
NPI
1063714178
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Entity Type
Organization
Authorized Contact
LOURDES DERGAN
Manager
305-599-1970
Organization Subpart ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: FL PY4206)
Enumeration Date
2010-11-22
Last Update Date
2011-05-24
Business Address
JOSE J DERGAN P. A
8249 NW 36TH ST STE 100
DORAL, FL 33166-6673
Phone number: 305-599-1970
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Mailing Address
JOSE J DERGAN P. A
8249 NW 36TH ST STE 100
DORAL, FL 33166-6673
Phone number: 305-599-1970
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