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1255629143
KEVIN ALFONSO
PLYMOUTH MEETING, PA
NPI
1255629143
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: FL PN5198794)
Enumeration Date
2011-07-13
Last Update Date
2011-07-13
Business Address
-- KEVIN ALFONSO
2250 HICKORY RD STE 240
PLYMOUTH MEETING, PA 19462-2225
Phone number: 800-355-1201
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Mailing Address
-- KEVIN ALFONSO
1227 SW 13TH CT
MIAMI, FL 33135-5437
Phone number: 305-781-0125
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