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1720321326
OTILIA D FONSECA
CORAL GABLES, FL
NPI
1720321326
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: FL PN5150841)
Enumeration Date
2013-04-02
Last Update Date
2013-04-02
Business Address
-- OTILIA D FONSECA
3850 W FLAGLER ST
CORAL GABLES, FL 33134-1604
Phone number: 305-774-3400
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Mailing Address
-- OTILIA D FONSECA
11031 NE 6TH AVE
MIAMI, FL 33161-7182
Phone number: 305-398-6100
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