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Individual

BLAIR M VIVIRITO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
460 NEW YORK AVE NW UNIT 904, WASHINGTON, DC 20001-5319
(702) 526-8599
Mailing address
PSC 2 BOX 9464, APO, AE 09012-0095

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
11020457
FL

Other

Enumeration date
07/21/2022
Last updated
07/21/2022
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