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1134761422
BLAISE AMENDOLACE
CORAL SPRINGS, FL
NPI
1134761422
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: FL PY8603)
Enumeration Date
2019-10-08
Last Update Date
2019-10-08
Business Address
Dr. BLAISE AMENDOLACE Psy.D
9780 NW 5TH CT
CORAL SPRINGS, FL 33071-6817
Phone number: 321-243-8218
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Mailing Address
Dr. BLAISE AMENDOLACE Psy.D
9780 NW 5TH CT
CORAL SPRINGS, FL 33071-6817
Phone number: 321-243-8218
Copy
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