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1013274166
IVANA FREIRE COSTA
POMPANO BEACH, FL
NPI
1013274166
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2012-04-13
Last Update Date
2012-04-13
Business Address
-- IVANA FREIRE COSTA
2708 NE 14TH ST SUITE 5
POMPANO BEACH, FL 33062-3565
Phone number: 888-880-9270
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Mailing Address
-- IVANA FREIRE COSTA
PO BOX 5963
LAKE WORTH, FL 33466-5963
Phone number: 561-201-2038
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