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1053140012
MARLON RODRIGUEZ FAJES
MIAMI, FL
NPI
1053140012
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: FL APRN11033864)
Enumeration Date
2024-07-29
Last Update Date
2024-11-18
Business Address
MARLON RODRIGUEZ FAJES
4591 SW 151ST PL
MIAMI, FL 33185-4365
Phone number: 786-343-5161
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Mailing Address
MARLON RODRIGUEZ FAJES
4591 SW 151ST PL
MIAMI, FL 33185-4365
Phone number: 786-343-5161
Copy
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