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1255936910
JOSE L VILLACOB
MIAMI, FL
NPI
1255936910
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 11004600)
Enumeration Date
2020-12-01
Last Update Date
2020-12-01
Business Address
JOSE L VILLACOB
10425 SW 112TH AVE APT 309
MIAMI, FL 33176-8214
Phone number: 786-234-8308
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Mailing Address
JOSE L VILLACOB
10425 SW 112TH AVE APT 309
MIAMI, FL 33176-8214
Phone number:
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