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1164056073
EDISON URRUTIA
KISSIMMEE, FL
NPI
1164056073
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-02-29
Last Update Date
2020-02-29
Business Address
EDISON URRUTIA
222 BROADWAY UNIT 211
KISSIMMEE, FL 34741-5760
Phone number: 407-329-3464
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Mailing Address
EDISON URRUTIA
3003 CONNER LN
KISSIMMEE, FL 34741-7727
Phone number: 321-846-3189
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