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Individual
REBECA FAJARDO
Active
Individual
REBECA FAJARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME106105
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME106105
MEDICAL LICENSE
FL
Enumeration date
03/02/2007
Last updated
05/19/2020
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