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1619755212
IRAISA CARPIO FONTICIELLA
MIAMI, FL
NPI
1619755212
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL APRN11028459)
Enumeration Date
2023-09-15
Last Update Date
2023-09-15
Business Address
IRAISA CARPIO FONTICIELLA
4903 SW 144TH CT
MIAMI, FL 33175-5052
Phone number: 786-675-1986
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Mailing Address
IRAISA CARPIO FONTICIELLA
4903 SW 144TH CT
MIAMI, FL 33175-5052
Phone number:
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