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1245706530
DIANA ITACY
MIAMI, FL
NPI
1245706530
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: FL APRN9296427)
Enumeration Date
2018-10-15
Last Update Date
2019-10-18
Business Address
Ms. DIANA ITACY APRN
8900 N KENDALL DR
MIAMI, FL 33176-2118
Phone number: 786-975-7738
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Mailing Address
Ms. DIANA ITACY APRN
PO BOX 743144
ATLANTA, GA 30384-8054
Phone number:
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