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Individual

NYRVA NORBERT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1225 HOWLAND BLVD, DELTONA, FL 32738-9738
(407) 324-0788
Mailing address
1225 HOWLAND BLVD, DELTONA, FL 32738-9738
(407) 324-0788

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary

Other

Enumeration date
05/19/2008
Last updated
05/19/2008
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