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1417283649
DERRY GUSHEN AGNINI
DAVENPORT, FL
NPI
1417283649
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: FL DN 16647)
Enumeration Date
2009-10-22
Last Update Date
2010-02-25
Business Address
Dr. DERRY GUSHEN AGNINI D.D.S.
39863 HIGHWAY 27
DAVENPORT, FL 33837-7802
Phone number: 863-353-6867
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Mailing Address
Dr. DERRY GUSHEN AGNINI D.D.S.
417 NORTH RD
LAKELAND, FL 33809-2225
Phone number: 863-513-8112
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