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1124230081
MARIO TUDELA
MIAMI, FL
NPI
1124230081
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172M00000X Mechanotherapist
(Licence: FL MA1936687)
Enumeration Date
2007-05-04
Last Update Date
2007-07-08
Business Address
MR. MARIO TUDELA MA-1936687
620 NW 33RD AVE
MIAMI, FL 33125-4106
Phone number: 305-646-0062
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Mailing Address
MR. MARIO TUDELA MA-1936687
6348 W 22ND LN
HIALEAH, FL 33016-3925
Phone number: 305-557-8780
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