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1649647264
ALBERTO JORGE GONGORA MAYO
MIAMI, FL
NPI
1649647264
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 11008846)
Enumeration Date
2015-08-31
Last Update Date
2020-08-27
Business Address
ALBERTO JORGE GONGORA MAYO APRN
7050 W FLAGLER ST APT 3
MIAMI, FL 33144-2749
Phone number: 786-515-3685
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Mailing Address
ALBERTO JORGE GONGORA MAYO APRN
7050 W FLAGLER ST APT 3
MIAMI, FL 33144-2749
Phone number: 786-515-3685
Copy
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