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1407522097
GLADYS AMELIA SUMMERS
HOMESTEAD, FL
NPI
1407522097
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
246RP1900X Technician, Pathology, Phlebotomy
(Licence: FL 1407521097)
Enumeration Date
2021-08-23
Last Update Date
2021-10-13
Business Address
GLADYS AMELIA SUMMERS PBT
2614 SE 19TH CT
HOMESTEAD, FL 33035-1300
Phone number: 813-409-5796
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Mailing Address
GLADYS AMELIA SUMMERS PBT
2614 SE 19TH CT
HOMESTEAD, FL 33035-1300
Phone number: 813-409-5796
Copy
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