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Individual
ALFONSO ALFONSO
Active
Individual
ALFONSO ALFONSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
RN9248794
FL
163WP0000X
Pain Management Registered Nurse
RN9248794
FL
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN9248794
FL
Other
Enumeration date
01/06/2022
Last updated
01/06/2022
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