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1699704239
OMAR FUNDORA
HIALEAH, FL
NPI
1699704239
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: FL ARNP 9170887)
Enumeration Date
2006-07-03
Last Update Date
2015-05-28
Business Address
-- OMAR FUNDORA CRNA
2001 W 68TH ST
HIALEAH, FL 33016-1801
Phone number: 786-478-9397
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Mailing Address
-- OMAR FUNDORA CRNA
4744 SW 195TH WAY
MIRAMAR, FL 33029-6203
Phone number:
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