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Individual

GIOVANNA BOHORQUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
19048 BRUCE B DOWNS BLVD # B 7/8, TAMPA, FL 33647-2434
(813) 972-1201
Mailing address
12511 LOQUAT WAY, TAMPA, FL 33626-3048

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
26921
FL

Other

Enumeration date
02/11/2021
Last updated
02/11/2021
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