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1730833047
CHANTALE VIXAMAR
WELLINGTON, FL
NPI
1730833047
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 11016889)
Enumeration Date
2022-02-05
Last Update Date
2022-02-05
Business Address
CHANTALE VIXAMAR
10184 SOUTHERN PRIDE PL
WELLINGTON, FL 33449-8007
Phone number: 561-904-1363
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Mailing Address
CHANTALE VIXAMAR
10184 SOUTHERN PRIDE PL
WELLINGTON, FL 33449-8007
Phone number: 561-904-1363
Copy
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