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1184732992
RAPHAEL FAJARDO GUANZON
PORTSMOUTH, VA
NPI
1184732992
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Former Name
RAFAEL FAJARDO GUANZON
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208D00000X General Practice
(Licence: VA 0101026720)
Enumeration Date
2006-08-29
Last Update Date
2009-12-31
Business Address
Dr. RAPHAEL FAJARDO GUANZON M.D.
704 LONDON ST # A
PORTSMOUTH, VA 23704-2413
Phone number: 757-399-0513
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Mailing Address
Dr. RAPHAEL FAJARDO GUANZON M.D.
704 LONDON ST # A
PORTSMOUTH, VA 23704-2413
Phone number: 757-399-0513
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