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1033680574
YAHAIRA IVETTE FONTANEZ LOPEZ
KISSIMMEE, FL
NPI
1033680574
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-12-10
Last Update Date
2018-12-10
Business Address
YAHAIRA IVETTE FONTANEZ LOPEZ
22 SILVER PARK CIR
KISSIMMEE, FL 34743-9400
Phone number: 407-924-6076
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Mailing Address
YAHAIRA IVETTE FONTANEZ LOPEZ
22 SILVER PARK CIR
KISSIMMEE, FL 34743-9400
Phone number: 407-924-6076
Copy
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