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1366021057
BANIA PEDRAJA FUENTES
DORAL, FL
NPI
1366021057
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 11012973)
Enumeration Date
2021-04-07
Last Update Date
2023-04-27
Business Address
BANIA PEDRAJA FUENTES
9250 NW 36TH ST STE 420
DORAL, FL 33178-2775
Phone number: 305-266-2929
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Mailing Address
BANIA PEDRAJA FUENTES
5000 NW 183RD ST
MIAMI GARDENS, FL 33055-2929
Phone number: 786-985-1635
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