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KRISTIN MARSHALL FAJER

>> Organized Health Care Education/Training Program >> Student

Registrant NPI Number: 1265098487

Individual Registrant:
 KRISTIN MARSHALL FAJER 
Gender: F
Sole Proprietor

Location and contact information for practice:
23297 NW 8TH PL  NEWBERRY, FL 32669-2673 US
Tel: 352-284-7412  Fax: --

Contact information for business:
PO BOX 100277  GAINESVILLE, FL 32610-0277 US
Tel: --  Fax: --

Registration Information:
NPI: 1265098487
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N390200000XStudent
Organized Health Care Education/Training Program
Y363A00000XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
FLPA9112601

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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