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1124139852
LIZETTE JOSEFINA FAGUNDO
MIAMI, FL
NPI
1124139852
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL PT19177)
Enumeration Date
2006-08-31
Last Update Date
2007-07-09
Business Address
Ms. LIZETTE JOSEFINA FAGUNDO MPT
2590 SW 107TH AVE
MIAMI, FL 33165-2400
Phone number: 305-226-7718
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Mailing Address
Ms. LIZETTE JOSEFINA FAGUNDO MPT
2590 SW 107TH AVE
MIAMI, FL 33165-2400
Phone number: 305-226-7718
Copy
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