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1043581010
CARLOS JESUS JANZEN
WINTER GARDEN, FL
NPI
1043581010
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
314000000X Skilled Nursing Facility
(Licence: FL PTA22746)
Enumeration Date
2012-01-23
Last Update Date
2012-01-23
Business Address
CARLOS JESUS JANZEN P.T.A.
15204 W COLONIAL DR
WINTER GARDEN, FL 34787-6042
Phone number: 407-877-2394
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Mailing Address
CARLOS JESUS JANZEN P.T.A.
579 CALIBRE CREST PKWY APT 204
ALTAMONTE SPRINGS, FL 32714-3635
Phone number: 407-484-6708
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