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1477220150
LETICIA FUENTES FONTE
HOMESTEAD, FL
NPI
1477220150
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 11008448)
Enumeration Date
2021-08-30
Last Update Date
2021-08-30
Business Address
LETICIA FUENTES FONTE
25505 SW 124TH CT
HOMESTEAD, FL 33032-5865
Phone number: 786-222-2962
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Mailing Address
LETICIA FUENTES FONTE
25505 SW 124TH CT
HOMESTEAD, FL 33032-5865
Phone number: 786-222-2962
Copy
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