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1386120327
YUCSEL GONGORA LEYVA
WEST PALM BEACH, FL
NPI
1386120327
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
(Licence: FL 7205936)
Enumeration Date
2018-07-12
Last Update Date
2018-07-12
Business Address
Mr. YUCSEL GONGORA LEYVA
1853 FLORIDA MANGO RD
WEST PALM BEACH, FL 33406-6736
Phone number: 561-510-0911
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Mailing Address
Mr. YUCSEL GONGORA LEYVA
1853 FLORIDA MANGO RD
WEST PALM BEACH, FL 33406-6736
Phone number: 561-510-0911
Copy
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