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1063590230
CANDIDO E FUENTES
HUNTINGTON, NY
NPI
1063590230
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: NY 148869)
Enumeration Date
2006-11-02
Last Update Date
2010-10-12
Business Address
Dr. CANDIDO E FUENTES MD
120 NEW YORK AVE 1W
HUNTINGTON, NY 11743-2743
Phone number: 631-385-9377
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Mailing Address
Dr. CANDIDO E FUENTES MD
120 NEW YORK AVE 1W
HUNTINGTON, NY 11743-2743
Phone number: 631-385-9377
Copy
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