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Individual
VIVIAN RAEL MALAVE
Active
Individual
VIVIAN RAEL MALAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, PA-C
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
3559
FL
363A00000X
Physician Assistant
Primary
PA9111563
FL
Other
Enumeration date
08/13/2013
Last updated
01/27/2020
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