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1356942031
JORGE LUIS ULLOA CAPESTANY
HIALEAH, FL
NPI
1356942031
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: FL 11010052)
Enumeration Date
2020-11-08
Last Update Date
2020-11-09
Business Address
JORGE LUIS ULLOA CAPESTANY APRN
6865 W 7TH AVE APT 408
HIALEAH, FL 33014-4877
Phone number: 786-307-2572
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Mailing Address
JORGE LUIS ULLOA CAPESTANY APRN
6865 W 7TH AVE APT 408
HIALEAH, FL 33014-4877
Phone number: 786-307-2572
Copy
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