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1053777698
ALFONSO PEREZ
VERO BEACH, FL
NPI
1053777698
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: FL PTA 26376)
Enumeration Date
2016-01-12
Last Update Date
2016-01-12
Business Address
ALFONSO PEREZ PTA
1310 37TH ST
VERO BEACH, FL 32960-4860
Phone number: 830-325-2952
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Mailing Address
ALFONSO PEREZ PTA
1604 CAMARINOS DR
EAGLE PASS, TX 78852-5562
Phone number: 830-325-2952
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