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1912674805
GELYS GONGORA
TAMPA, FL
NPI
1912674805
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: FL APRN11014674)
Enumeration Date
2021-08-27
Last Update Date
2021-08-27
Business Address
GELYS GONGORA
6107 MEMORIAL HWY
TAMPA, FL 33615-4596
Phone number: 813-890-3400
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Mailing Address
GELYS GONGORA
6107 MEMORIAL HWY
TAMPA, FL 33615-4596
Phone number: 813-890-3400
Copy
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