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1790185353
DELIA T GONGORA
MIAMI, FL
NPI
1790185353
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL S00894589)
Enumeration Date
2014-09-01
Last Update Date
2017-04-09
Business Address
-- DELIA T GONGORA
14283 SW 42ND ST
MIAMI, FL 33175-6408
Phone number: 305-226-1001
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Mailing Address
-- DELIA T GONGORA
1191 NW 134TH AVE
MIAMI, FL 33182-2220
Phone number: 786-269-4661
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