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Individual
MR. LUDGARDO FERMIN GONZALEZ MARIN SR.
Active
Individual
MR. LUDGARDO FERMIN GONZALEZ MARIN SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
5062PUERTORICO
PR
Other
Enumeration date
01/29/2008
Last updated
01/29/2008
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