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1285619973
MARIO ENRIQUE FAJARDO
WASHINGTON, DC
NPI
1285619973
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NY 143895-1)
Enumeration Date
2005-12-14
Last Update Date
2007-07-08
Business Address
DR. MARIO ENRIQUE FAJARDO M.D.
COMMANDANT US COAST GUARD CG-1122 2100 SECOND ST. SW
WASHINGTON, DC 20593-0001
Phone number: 202-267-0801
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Mailing Address
DR. MARIO ENRIQUE FAJARDO M.D.
1951 HOLLY CREEK PL
CONCORD, CA 94521-1550
Phone number: 925-825-5905
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