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1447898218
GUSTAVO H SHIMABUCO
CORAL SPRINGS, FL
NPI
1447898218
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: FL PN5203997)
Enumeration Date
2019-12-12
Last Update Date
2019-12-12
Business Address
Mr. GUSTAVO H SHIMABUCO LPN
9734 W SAMPLE RD
CORAL SPRINGS, FL 33065-4004
Phone number: 954-903-1323
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Mailing Address
Mr. GUSTAVO H SHIMABUCO LPN
9734 W SAMPLE RD
CORAL SPRINGS, FL 33065-4004
Phone number: 954-903-1323
Copy
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