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Individual

MIREILLE GASPARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
8175 NW 12TH ST, SUITE 306, DORAL, FL 33126-1828
(786) 845-0173
(786) 845-0176
Mailing address
8175 NW 12TH ST, SUITE 306, DORAL, FL 33126-1828
(786) 845-0173
(786) 845-0176

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2213292
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
172017189 5
FLORIDA DPT OFHEALTH-NPI
FL
Enumeration date
03/27/2008
Last updated
03/27/2008
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