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1285234799
GEORGINA FUENTES VELASQUEZ
SAINT LOUIS, MO
NPI
1285234799
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MO 2020026943)
Enumeration Date
2020-10-26
Last Update Date
2020-10-26
Business Address
GEORGINA FUENTES VELASQUEZ NP
12101 WOODCREST EXECUTIVE DR STE 102
SAINT LOUIS, MO 63141-5047
Phone number: 800-427-1902
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Mailing Address
GEORGINA FUENTES VELASQUEZ NP
333 N SUMMIT ST FL 15
TOLEDO, OH 43604-2615
Phone number: 800-427-1902
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