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1518546142
ALVARO FAJARDO
PORT SAINT LUCIE, FL
NPI
1518546142
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL APRN11010534)
Enumeration Date
2021-04-02
Last Update Date
2021-04-22
Business Address
ALVARO FAJARDO
1720 SW JAMESPORT DR
PORT SAINT LUCIE, FL 34953-4355
Phone number: 305-479-4677
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Mailing Address
ALVARO FAJARDO
1720 SW JAMESPORT DR
PORT SAINT LUCIE, FL 34953-4355
Phone number: 305-479-4677
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