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1649958042
TANIA FAGUNDO
PALMETTO BAY, FL
NPI
1649958042
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: FL 11027339)
Enumeration Date
2023-07-06
Last Update Date
2024-07-10
Business Address
TANIA FAGUNDO
15924 SW 92ND AVE
PALMETTO BAY, FL 33157-1842
Phone number: 786-449-8286
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Mailing Address
TANIA FAGUNDO
19443 NW 87TH CT
HIALEAH, FL 33018-6216
Phone number: 786-449-8286
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