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1528321130
MARCELA VIVIANA AVILA
GAINESVILLE, FL
NPI
1528321130
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL ME 122195)
Enumeration Date
2012-06-19
Last Update Date
2017-03-01
Business Address
-- MARCELA VIVIANA AVILA
1601 SW ARCHER RD NF/SG VHS GRECC #182
GAINESVILLE, FL 32608-1135
Phone number: 352-548-6000
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Mailing Address
-- MARCELA VIVIANA AVILA
1810 NW 23RD BLVD APT 213
GAINESVILLE, FL 32605-3080
Phone number: 925-325-0955
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