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1992239271
MAYRA NAVEDO-DISTAFFEN
CLERMONT, FL
NPI
1992239271
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: FL ARNP9288357)
Enumeration Date
2017-04-13
Last Update Date
2017-04-13
Business Address
-- MAYRA NAVEDO-DISTAFFEN ARNP-C
3121 CITRUS TOWER BLVD
CLERMONT, FL 34711-6881
Phone number: 352-404-5968
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Mailing Address
-- MAYRA NAVEDO-DISTAFFEN ARNP-C
PO BOX 386
TAVARES, FL 32778-0386
Phone number: 352-404-5968
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