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1093300824
JUAN CHANELO RODRIGUEZ
ST PETERSBURG, FL
NPI
1093300824
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225800000X Recreation Therapist
(Licence: FL MA75384)
Enumeration Date
2021-03-03
Last Update Date
2021-03-03
Business Address
JUAN CHANELO RODRIGUEZ lmt
6619 1ST AVE S
ST PETERSBURG, FL 33707-1305
Phone number: 727-623-9996
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Mailing Address
JUAN CHANELO RODRIGUEZ lmt
9943 14TH ST N APT 204
SAINT PETERSBURG, FL 33716-5019
Phone number:
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