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1275921702
DESIREE BUNGABONG
SUNRISE, FL
NPI
1275921702
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070.019961)
Enumeration Date
2015-01-06
Last Update Date
2015-01-06
Business Address
-- DESIREE BUNGABONG PT
1580 SAWGRASS CORPORATE PKWY STE 100
SUNRISE, FL 33323-2860
Phone number: 954-332-4445
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Mailing Address
-- DESIREE BUNGABONG PT
1580 SAWGRASS CORPORATE PKWY SUITE 100
SUNRISE, FL 33323-2859
Phone number:
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