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1093956237
FERNANDO RENGIFO-CAICEDO
ALPHARETTA, GA
NPI
1093956237
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: GA SLP007041)
Enumeration Date
2009-03-18
Last Update Date
2010-01-29
Business Address
-- FERNANDO RENGIFO-CAICEDO SLP007041
856 RED HART LN
ALPHARETTA, GA 30004-4142
Phone number: 202-297-5314
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Mailing Address
-- FERNANDO RENGIFO-CAICEDO SLP007041
856 RED HART LN
ALPHARETTA, GA 30004-4142
Phone number: 202-297-5314
Copy
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