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1801575345
DANIEL OMAR VALDIVIA
BRADENTON, FL
NPI
1801575345
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: FL 2023060082)
Enumeration Date
2023-07-12
Last Update Date
2023-07-12
Business Address
DANIEL OMAR VALDIVIA APRN
13551 LUXE AVE APT 106
BRADENTON, FL 34211-4507
Phone number: 941-920-6646
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Mailing Address
DANIEL OMAR VALDIVIA APRN
13551 LUXE AVE APT 106
BRADENTON, FL 34211-4507
Phone number: 941-920-6646
Copy
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