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1780027300
IVIS S FUENTES
SMITHFIELD, NC
NPI
1780027300
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2013-04-12
Last Update Date
2013-04-12
Business Address
IVIS S FUENTES ITFS
123 HARRIS RD
SMITHFIELD, NC 27577-8161
Phone number: 919-437-2156
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Mailing Address
IVIS S FUENTES ITFS
123 HARRIS RD
SMITHFIELD, NC 27577-8161
Phone number: 919-437-2156
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