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KRISTIN MARSHALL FAJER
>> Organized Health Care Education/Training Program >> StudentRegistrant NPI Number: 1265098487
Individual Registrant: KRISTIN MARSHALL FAJER
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
23297 NW 8TH PL NEWBERRY, FL 32669-2673 US
Tel: 352-284-7412 Fax: --
Tel: 352-284-7412 Fax: --
Contact information for business:
PO BOX 100277 GAINESVILLE, FL 32610-0277 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1265098487
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 390200000X | Student Organized Health Care Education/Training Program | ||
| Y | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers Physician Assistant | FL | PA9112601 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
