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1922873777
ALEXIS FAGUNDO
BURBANK, CA
NPI
1922873777
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95027346)
Enumeration Date
2023-11-21
Last Update Date
2023-11-21
Business Address
ALEXIS FAGUNDO
501 S BUENA VISTA ST
BURBANK, CA 91505-4809
Phone number: 626-566-8501
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Mailing Address
ALEXIS FAGUNDO
3936 PARK PL
MONTROSE, CA 91020-1609
Phone number: 818-261-7059
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