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1720852007
GDA BLALANCE MEDICAL LLC
NAPLES, FL
NPI
1720852007
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Entity Type
Organization
Authorized Contact
LEONARDO MASTACHE
President
239-692-2630
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
Enumeration Date
2023-11-08
Last Update Date
2023-11-08
Business Address
GDA BLALANCE MEDICAL LLC
4349 18TH PL SW
NAPLES, FL 34116-5917
Phone number: 239-692-2630
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Mailing Address
GDA BLALANCE MEDICAL LLC
4349 18TH PL SW
NAPLES, FL 34116-5917
Phone number: 239-692-2630
Copy
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