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1003291600
JUAN ANTONIO SAN BLAS VALDES
MIAMI, FL
NPI
1003291600
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
282N00000X General Acute Care Hospital
(Licence: FL 13-664)
Enumeration Date
2015-07-23
Last Update Date
2015-07-23
Business Address
-- JUAN ANTONIO SAN BLAS VALDES
100 SW 110TH AVE APT 125
MIAMI, FL 33174-1255
Phone number: 305-560-0853
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Mailing Address
-- JUAN ANTONIO SAN BLAS VALDES
100 SW 110TH AVE APT 125
MIAMI, FL 33174-1255
Phone number: 305-560-0853
Copy
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