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Individual

PAULINE VIRGO CANION

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
840 SW 81ST AVE, STE 303H, NORTH LAUDERDALE, FL 33068
(954) 588-3708
Mailing address
840 SW 81ST AVE, STE 303H, NORTH LAUDERDALE, FL 33068
(954) 588-3708

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN1235271
FL

Other

Enumeration date
09/19/2018
Last updated
09/19/2018
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