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Individual
MARIE V FAJARDO
Active
Individual
MARIE V FAJARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N., N.P
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
20890
CA
Other
Enumeration date
08/19/2011
Last updated
08/19/2011
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