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Individual
MR. YURIT FONSECA
Active
Individual
MR. YURIT FONSECA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
MA 58916
FL
Other
Enumeration date
08/31/2010
Last updated
08/31/2010
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