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1821596479
JORGE CARBALLO
MIAMI, FL
NPI
1821596479
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WG0000X Registered Nurse, General Practice
(Licence: FL 9351651)
Enumeration Date
2018-01-29
Last Update Date
2018-01-29
Business Address
JORGE CARBALLO
8710 SW 41ST TER
MIAMI, FL 33165-5437
Phone number: 786-416-1663
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Mailing Address
JORGE CARBALLO
8710 SW 41ST TER
MIAMI, FL 33165-5437
Phone number: 786-416-1663
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