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1457362410
MARICELA DIANEXI FARDALES
HIALEAH, FL
NPI
1457362410
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: FL pa9103093)
Enumeration Date
2006-08-11
Last Update Date
2021-07-13
Business Address
MARICELA DIANEXI FARDALES PA
8051 W 24TH AVE STE 9
HIALEAH, FL 33016-5596
Phone number: 305-400-9702
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Mailing Address
MARICELA DIANEXI FARDALES PA
8051 W 24TH AVE STE 9
HIALEAH, FL 33016-5596
Phone number: 305-400-9702
Copy
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