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1588101174
GOMA MAYBERRY
ORMOND BEACH, FL
NPI
1588101174
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL RN9308893)
Enumeration Date
2017-01-20
Last Update Date
2017-01-20
Business Address
-- GOMA MAYBERRY
773 RIVERSIDE DR
ORMOND BEACH, FL 32176-7878
Phone number: 386-795-2457
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Mailing Address
-- GOMA MAYBERRY
773 RIVERSIDE DR
ORMOND BEACH, FL 32176-7878
Phone number: 386-795-2457
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