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1740004894
JBASULTO HEALTH CARE LLC
HIALEAH, FL
NPI
1740004894
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Entity Type
Organization
Authorized Contact
JANISSET BASULTO
Owner
786-797-7134
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
Enumeration Date
2024-11-14
Last Update Date
2024-11-14
Business Address
JBASULTO HEALTH CARE LLC
20051 NW 77TH CT
HIALEAH, FL 33015-6419
Phone number: 786-797-7134
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Mailing Address
JBASULTO HEALTH CARE LLC
20051 NW 77TH CT
HIALEAH, FL 33015-6419
Phone number: 786-797-7134
Copy
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