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1144789843
FAUSTA MORTIMER VIRGILE
MIRAMAR, FL
NPI
1144789843
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 11001603)
Enumeration Date
2019-03-13
Last Update Date
2019-03-13
Business Address
Mrs. FAUSTA MORTIMER VIRGILE APRN
6640 DAHLIA DRIVE
MIRAMAR, FL 33023
Phone number: 954-496-0020
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Mailing Address
Mrs. FAUSTA MORTIMER VIRGILE APRN
6640 DAHLIA DRIVE
MIRAMAR, FL 33023
Phone number: 954-496-0020
Copy
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