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1356922454
KATIANA DERA BLAISE
MIAMI, FL
NPI
1356922454
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 11012224)
Enumeration Date
2021-04-20
Last Update Date
2022-11-10
Business Address
KATIANA DERA BLAISE APRN
1475 NW 12TH AVE
MIAMI, FL 33136-1002
Phone number: 305-243-1885
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Mailing Address
KATIANA DERA BLAISE APRN
1475 NW 12TH AVE
MIAMI, FL 33136-1002
Phone number: 305-243-1885
Copy
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