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1053159889
RAUL ALFONSO
FORT MYERS, FL
NPI
1053159889
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL APRN11034028)
Enumeration Date
2024-07-16
Last Update Date
2024-08-06
Business Address
RAUL ALFONSO APRN
6091 S POINTE BLVD
FORT MYERS, FL 33919-4899
Phone number: 239-466-2020
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Mailing Address
RAUL ALFONSO APRN
44 BARKLEY CIR
FORT MYERS, FL 33907-7530
Phone number: 239-985-7171
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