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Individual
INXS M FIODEMBO
Active
Individual
INXS M FIODEMBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP95008817
CA
363LF0000X
Family Nurse Practitioner
RN.361495
OH
Other
Enumeration date
09/12/2016
Last updated
06/03/2020
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