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Individual
MARISOL HERNANDEZ
Active
Individual
MARISOL HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA3927
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
883436900
—
FL
Enumeration date
05/19/2006
Last updated
02/09/2011
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