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1073092623
GRACE LEON
MIAMI, FL
NPI
1073092623
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Former Name
GRACIELA MONTENEGRO LEON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: FL OTA9790)
Enumeration Date
2018-08-13
Last Update Date
2018-08-13
Business Address
GRACE LEON OTA/L
9400 SW 137TH AVE
MIAMI, FL 33186-1434
Phone number: 305-385-8290
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Mailing Address
GRACE LEON OTA/L
9994 NW 5TH LN
MIAMI, FL 33172-4004
Phone number: 786-683-7633
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