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1144623794
ALEXANDER HEISAKU IRIARTE
FORT MYERS, FL
NPI
1144623794
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2014-09-26
Last Update Date
2021-03-25
Business Address
Mr. ALEXANDER HEISAKU IRIARTE PA-C
5216 CLAYTON CT
FORT MYERS, FL 33907-2116
Phone number: 239-343-8260
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Mailing Address
Mr. ALEXANDER HEISAKU IRIARTE PA-C
PO BOX 2147
FORT MYERS, FL 33902-2147
Phone number: 239-343-8260
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