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1093947210
KEITH JUDE KOLESAR
DAVIE, FL
NPI
1093947210
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: FL SA6948)
Enumeration Date
2009-08-20
Last Update Date
2009-08-20
Business Address
Mr. KEITH JUDE KOLESAR M.S.,CCC-SLP
1526 WHITE HALL DR APT. 102
DAVIE, FL 33324-6678
Phone number: 561-789-1799
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Mailing Address
Mr. KEITH JUDE KOLESAR M.S.,CCC-SLP
1526 WHITE HALL DR APT. 102
DAVIE, FL 33324-6678
Phone number: 561-789-1799
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