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1134768740
ALEJANDRO DIAZ DOMINGUEZ
MIAMI, FL
NPI
1134768740
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL PTA28970)
Enumeration Date
2019-12-30
Last Update Date
2019-12-30
Business Address
ALEJANDRO DIAZ DOMINGUEZ PTA
1431 NW 13TH TER
MIAMI, FL 33125-2607
Phone number: 305-640-5326
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Mailing Address
ALEJANDRO DIAZ DOMINGUEZ PTA
9837 W OKEECHOBEE RD APT 603
HIALEAH GARDENS, FL 33016-3144
Phone number: 786-587-6237
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