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1093258584
MARY ANGELS DISTASIO
HIALEAH, FL
NPI
1093258584
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2016-12-01
Last Update Date
2016-12-01
Business Address
Mrs. MARY ANGELS DISTASIO M.P.A
150 E 1ST AVE STE 105
HIALEAH, FL 33010-4925
Phone number: 305-825-0300
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Mailing Address
Mrs. MARY ANGELS DISTASIO M.P.A
8895 FONTAINEBLEAU BLVD APT 105
MIAMI, FL 33172-4423
Phone number: 305-992-0171
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