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1023566403
BRENDA TELLEZ DIAZ
MIAMI, FL
NPI
1023566403
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: FL 7839)
Enumeration Date
2016-09-14
Last Update Date
2016-09-14
Business Address
-- BRENDA TELLEZ DIAZ
6840 SW 40TH ST STE 211A
MIAMI, FL 33155-3756
Phone number: 305-461-4702
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Mailing Address
-- BRENDA TELLEZ DIAZ
120 SW 109TH AVE APT 22
MIAMI, FL 33174-1289
Phone number: 786-325-5274
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