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1982061214
ALEXANDER MAZEKINA TAIRA
PLANTATION, FL
NPI
1982061214
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL ARNP 9385407)
Enumeration Date
2016-01-18
Last Update Date
2019-09-05
Business Address
ALEXANDER MAZEKINA TAIRA
300 NW 70TH AVE STE 205
PLANTATION, FL 33317-2367
Phone number: 954-321-5428
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Mailing Address
ALEXANDER MAZEKINA TAIRA
300 NW 70TH AVE STE 205
PLANTATION, FL 33317-2367
Phone number: 954-321-5428
Copy
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