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1437610706
SHANEE AVIVA BOUSKILA
AVENTURA, FL
NPI
1437610706
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 11000913)
Enumeration Date
2019-03-28
Last Update Date
2019-03-28
Business Address
Mrs. SHANEE AVIVA BOUSKILA
3675 N COUNTRY CLUB DR PH 9
AVENTURA, FL 33180-1757
Phone number: 504-338-9029
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Mailing Address
Mrs. SHANEE AVIVA BOUSKILA
3675 N COUNTRY CLUB DR PH 9
AVENTURA, FL 33180-1757
Phone number:
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