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1396308573
CARLOS ALFREDO MIJARES
DAVIE, FL
NPI
1396308573
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2019-04-15
Last Update Date
2019-04-15
Business Address
CARLOS ALFREDO MIJARES
3402 DAVIE RD APT 215
DAVIE, FL 33314-1623
Phone number: 786-316-2308
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Mailing Address
CARLOS ALFREDO MIJARES
3402 DAVIE RD APT 215
DAVIE, FL 33314-1623
Phone number:
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