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1104449644
LUIS MANUEL VANDAMA BRIZUELA
HIALEAH, FL
NPI
1104449644
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: FL APRN11007011)
Enumeration Date
2020-05-19
Last Update Date
2020-05-19
Business Address
LUIS MANUEL VANDAMA BRIZUELA APRN
681 W 50TH PL
HIALEAH, FL 33012-3614
Phone number: 954-826-6363
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Mailing Address
LUIS MANUEL VANDAMA BRIZUELA APRN
681 W 50TH PL
HIALEAH, FL 33012-3614
Phone number: 954-826-6363
Copy
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