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1396205340
JOSUE GUTIERREZ FAJARDO
MIAMI, FL
NPI
1396205340
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-03-24
Last Update Date
2019-03-24
Business Address
JOSUE GUTIERREZ FAJARDO MD
1611 NW 12TH AVE
MIAMI, FL 33136-1096
Phone number: 305-585-1111
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Mailing Address
JOSUE GUTIERREZ FAJARDO MD
1611 NW 12TH AVE
MIAMI, FL 33136-1005
Phone number:
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