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1003671629
DIANA ISABEL CLAVIJO
PORT ST LUCIE, FL
NPI
1003671629
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: FL 11030622)
Enumeration Date
2024-02-14
Last Update Date
2024-02-14
Business Address
DIANA ISABEL CLAVIJO
7549 NW GREENSPRING ST
PORT ST LUCIE, FL 34987-3050
Phone number: 954-274-5691
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Mailing Address
DIANA ISABEL CLAVIJO
7549 NW GREENSPRING ST
PORT ST LUCIE, FL 34987-3050
Phone number: 954-274-5691
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