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1831680263
ERNESTO JOSE FERNANDEZ
MOORESVILLE, NC
NPI
1831680263
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NC 14082)
Enumeration Date
2018-05-22
Last Update Date
2021-06-04
Business Address
ERNESTO JOSE FERNANDEZ
105 CONDUCTOR LN APT 720
MOORESVILLE, NC 28115-5419
Phone number: 304-673-2320
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Mailing Address
ERNESTO JOSE FERNANDEZ
102 LEONARD AVE
NEWTON, NC 28658-9649
Phone number: 828-464-8260
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