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1104045509
LUIS R MADERAL
MIAMI, FL
NPI
1104045509
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: FL MT0001134)
Enumeration Date
2007-04-24
Last Update Date
2007-07-08
Business Address
Mr. LUIS R MADERAL M.A.,M.Div.
8766 SW 8TH ST
MIAMI, FL 33174-3201
Phone number: 305-221-5366
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Mailing Address
Mr. LUIS R MADERAL M.A.,M.Div.
6750 SW 104TH ST
MIAMI, FL 33156-3252
Phone number: 305-221-5366
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