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1912313107
LIETH HANNA QUFFA
GAINESVILLE, FL
NPI
1912313107
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: FL PS51889)
Enumeration Date
2014-07-08
Last Update Date
2014-07-08
Business Address
-- LIETH HANNA QUFFA
1601 SW ARCHER RD
GAINESVILLE, FL 32608-1135
Phone number: 352-376-1611
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Mailing Address
-- LIETH HANNA QUFFA
2700 SW ARCHER RD APT E28
GAINESVILLE, FL 32608-1363
Phone number: 337-853-6197
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