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1285479378
LAVINA FERNANDES
LITTLE ROCK, AR
NPI
1285479378
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-06-28
Last Update Date
2024-06-28
Business Address
LAVINA FERNANDES MD
1 CHILDREN'S WAY, SLOT 512-19A
LITTLE ROCK, AR 72202
Phone number: 501-364-5115
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Mailing Address
LAVINA FERNANDES MD
1 CHILDREN'S WAY, SLOT ACH 512-19A
LITTLE ROCK, AR 72202
Phone number: 501-364-5115
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