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1811491863
FIDEL CHAVEZ
MIAMI, FL
NPI
1811491863
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2018-03-22
Last Update Date
2018-03-22
Business Address
FIDEL CHAVEZ
1611 NW 12TH AVE
MIAMI, FL 33136-1005
Phone number: 626-290-5519
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Mailing Address
FIDEL CHAVEZ
4928 W EDDY ST
CHICAGO, IL 60641-3549
Phone number: 626-290-5519
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