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1770094070
ODALIS ALTAGRACIA BAEZ SANTANA
MIAMI, FL
NPI
1770094070
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: FL 9428683)
Enumeration Date
2017-10-13
Last Update Date
2017-10-13
Business Address
ODALIS ALTAGRACIA BAEZ SANTANA ARNP
20215 NW 2ND AVE STE 1
MIAMI, FL 33169-2538
Phone number: 305-685-5688
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Mailing Address
ODALIS ALTAGRACIA BAEZ SANTANA ARNP
3130 NW 174TH ST
MIAMI GARDENS, FL 33056-4041
Phone number: 786-541-7400
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