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1548807696
SANNY VASALLO
MIRAMAR, FL
NPI
1548807696
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL F09190722)
Enumeration Date
2019-12-09
Last Update Date
2024-10-18
Business Address
SANNY VASALLO
4451 SW 143RD AVE
MIRAMAR, FL 33027-3055
Phone number: 786-769-4498
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Mailing Address
SANNY VASALLO
4451 SW 143RD AVE
MIRAMAR, FL 33027-3055
Phone number: 786-769-4498
Copy
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