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1013388586
CAMILO EDGARDO GARZONLOPEZ
MIAMI, FL
NPI
1013388586
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL 25555)
Enumeration Date
2015-10-09
Last Update Date
2015-10-09
Business Address
-- CAMILO EDGARDO GARZONLOPEZ
800 NW 95TH ST
MIAMI, FL 33150-2032
Phone number: 305-853-5848
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Mailing Address
-- CAMILO EDGARDO GARZONLOPEZ
5610 NW 107TH AVE APT 1310
DORAL, FL 33178-4940
Phone number: 305-301-7085
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