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Individual

KIMBERLY ANN CORONADO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
C PHT

Contact information

Practice address
1101 S MILITARY TRL, DEERFIELD BEACH, FL 33442-7645
(954) 421-4349
Mailing address
5200 NW 31ST AVE #99, FORT LAUDERDALE, FL 33309
(954) 793-8552

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary

Other

Enumeration date
05/15/2007
Last updated
07/08/2007
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