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1750857173
LEROY DESANCE
NORTH MIAMI BEACH, FL
NPI
1750857173
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 9179664)
Enumeration Date
2018-10-24
Last Update Date
2018-10-24
Business Address
Mr. LEROY DESANCE APRN
821 NE 207TH LN APT 205
NORTH MIAMI BEACH, FL 33179-1921
Phone number: 786-253-2793
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Mailing Address
Mr. LEROY DESANCE APRN
821 NE 207TH LN APT 205
MIAMI, FL 33179-1921
Phone number: 786-253-2793
Copy
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