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Individual

MRS. ODALYS SUAREZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
58484
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7502884483
FL
Enumeration date
01/19/2011
Last updated
01/19/2011
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