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1891704128
ENRIQUE GONGORA
BIRMINGHAM, AL
NPI
1891704128
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)
(Licence: AL 37800)
Enumeration Date
2006-08-05
Last Update Date
2024-02-01
Business Address
ENRIQUE GONGORA MD
619 19TH ST S
BIRMINGHAM, AL 35249
Phone number: 205-934-4011
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Mailing Address
ENRIQUE GONGORA MD
PO BOX 55310
BIRMINGHAM, AL 35255-5310
Phone number:
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