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1770584542
CHRISTINE MARIE FARGO
COCOA, FL
NPI
1770584542
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL ARNP3328432)
Enumeration Date
2005-08-03
Last Update Date
2018-05-29
Business Address
-- CHRISTINE MARIE FARGO ARNP
2300 STATE ROAD 524 SUITE 104
COCOA, FL 32926-5894
Phone number: 321-868-8320
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Mailing Address
-- CHRISTINE MARIE FARGO ARNP
PO BOX 561600
ROCKLEDGE, FL 32956-1600
Phone number: 321-868-8320
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