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1043568017
CARLOS CARRILLO
TAMPA, FL
NPI
1043568017
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2012-08-26
Last Update Date
2012-08-26
Business Address
-- CARLOS CARRILLO
4202 W IDELL ST
TAMPA, FL 33614-2501
Phone number: 813-410-2769
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Mailing Address
-- CARLOS CARRILLO
4202 W IDELL ST
TAMPA, FL 33614-2501
Phone number: 813-410-2769
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