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1215520937
CANAAN MAFFEO
ROCKLEDGE, FL
NPI
1215520937
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 11010122)
Enumeration Date
2021-02-12
Last Update Date
2021-02-23
Business Address
CANAAN MAFFEO APRN
1921 BRIDGEPORT CIR
ROCKLEDGE, FL 32955-4335
Phone number: 321-480-5525
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Mailing Address
CANAAN MAFFEO APRN
1921 BRIDGEPORT CIR
ROCKLEDGE, FL 32955-4335
Phone number: 321-480-5525
Copy
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