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1154793321
JUAN LEIRA
HIALEAH, FL
NPI
1154793321
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2015-10-27
Last Update Date
2015-10-27
Business Address
-- JUAN LEIRA
18782 NW 79TH CT
HIALEAH, FL 33015-5297
Phone number: 786-376-5234
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Mailing Address
-- JUAN LEIRA
18782 NW 79TH CT
HIALEAH, FL 33015-5297
Phone number: 786-376-5234
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