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1023735560
DELIA FUENTES
TAMPA, FL
NPI
1023735560
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2022-10-25
Last Update Date
2022-10-25
Business Address
DELIA FUENTES
12512 BRUCE B DOWNS BLVD
TAMPA, FL 33612-9209
Phone number: 813-644-6386
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Mailing Address
DELIA FUENTES
12512 BRUCE B DOWNS BLVD
TAMPA, FL 33612-9209
Phone number: 813-644-6386
Copy
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