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Individual

DEBORA GRACIELA ROSENTAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2391 W 68TH ST, HIALEAH, FL 33016-6816
(305) 820-2122
Mailing address
3701 N COUNTRY CLUB DR APT 507, AVENTURA, FL 33180-1734
(305) 336-5496

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS38905
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PS38905
FL
Enumeration date
10/21/2022
Last updated
10/21/2022
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