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1144329160
DOUGLAS RIESCO
MIAMI, FL
NPI
1144329160
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL PT20541)
Enumeration Date
2006-09-22
Last Update Date
2010-12-02
Business Address
-- DOUGLAS RIESCO MSPT
12936 SW 133RD TER
MIAMI, FL 33186-6951
Phone number: 305-323-5833
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Mailing Address
-- DOUGLAS RIESCO MSPT
12936 SW 133RD TER
MIAMI, FL 33186-6951
Phone number: 305-323-5833
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