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STEPHANE ILUNGA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
4300 SW 13TH ST, GAINESVILLE, FL 32608-4006
(352) 374-5600
Mailing address
4300 SW 13TH ST, GAINESVILLE, FL 32608-4006
(352) 374-5600

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9639167
FL
164W00000X
Licensed Practical Nurse
PN5236771
FL

Other

Enumeration date
03/08/2019
Last updated
10/12/2023
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