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1871018630
GABRIEL DIB TAISSOUN
SARASOTA, FL
NPI
1871018630
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 11027767)
Enumeration Date
2017-08-13
Last Update Date
2023-07-28
Business Address
GABRIEL DIB TAISSOUN FNP-C
2401 UNIVERSITY PKWY STE 205
SARASOTA, FL 34243-2973
Phone number: 941-351-1200
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Mailing Address
GABRIEL DIB TAISSOUN FNP-C
17523 CANTARINA CV
BRADENTON, FL 34211-1126
Phone number: 321-900-9818
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