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1043669922
ANDY ANSOLA
SUNRISE, FL
NPI
1043669922
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-06-10
Last Update Date
2016-06-10
Business Address
-- ANDY ANSOLA
2411 NW 98TH AVE
SUNRISE, FL 33322-3262
Phone number: 954-274-7233
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Mailing Address
-- ANDY ANSOLA
2411 NW 98TH AVE
SUNRISE, FL 33322-3262
Phone number: 954-274-7233
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