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1154163004
SUSAN BENCOMO
HIALEAH, FL
NPI
1154163004
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: FL APRN11033215)
Enumeration Date
2024-06-11
Last Update Date
2024-06-11
Business Address
SUSAN BENCOMO
2150 W 76TH ST STE 117
HIALEAH, FL 33016-1887
Phone number: 786-636-6952
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Mailing Address
SUSAN BENCOMO
6800 W 16TH DR APT 304
HIALEAH, FL 33014-4454
Phone number: 786-326-0703
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