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1043611908
JUAN CERVANTES
TAMPA, FL
NPI
1043611908
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2014-09-10
Last Update Date
2019-01-15
Business Address
JUAN CERVANTES B.S.
5825 N THATCHER AVE
TAMPA, FL 33614-5534
Phone number: 305-343-3735
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Mailing Address
JUAN CERVANTES B.S.
5825 N THATCHER AVE
TAMPA, FL 33614-5534
Phone number: 305-343-3735
Copy
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