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1124388038
ANDRES MEDINA
TAMPA, FL
NPI
1124388038
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2012-05-24
Last Update Date
2015-05-07
Business Address
MR. ANDRES MEDINA MA
5707 N 22ND ST
TAMPA, FL 33610-4350
Phone number: 813-239-8448
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Mailing Address
MR. ANDRES MEDINA MA
5707 N 22ND ST
TAMPA, FL 33610-4350
Phone number: 813-239-8448
Copy
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