KENNETH ANTONIO GOURGUE

MIAMI, FL
NPI1104943687
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy227800000X Respiratory Therapist, Certified
(Licence: FL  TT 11458)
Enumeration Date2007-03-22
Last Update Date2007-07-08
Business Address
-- KENNETH ANTONIO GOURGUE
15490 SW 230TH ST
MIAMI, FL 33170-6900
Phone number: 786-326-8512
Mailing Address
-- KENNETH ANTONIO GOURGUE
15490 SW 230TH ST
MIAMI, FL 33170-6900
Phone number: 786-326-8512
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