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1982391660
LIDIA BRAVO APRN LLC
HOMESTEAD, FL
NPI
1982391660
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Entity Type
Organization
Authorized Contact
LIDIA BRAVO
Owner
786-556-9959
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner Psychiatric/Mental Health
Enumeration Date
2023-04-21
Last Update Date
2023-04-21
Business Address
LIDIA BRAVO APRN LLC
25004 SW 107TH AVE
HOMESTEAD, FL 33032-6337
Phone number: 786-556-9959
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Mailing Address
LIDIA BRAVO APRN LLC
25004 SW 107TH AVE
HOMESTEAD, FL 33032-6337
Phone number: 786-556-9959
Copy
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