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1184990301
JOSE L, RIVERA
KISSIMMEE, FL
NPI
1184990301
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL IMH9704)
Enumeration Date
2012-04-02
Last Update Date
2012-04-02
Business Address
Dr. JOSE L, RIVERA Ph.D.
829 E OAK ST STE C
KISSIMMEE, FL 34744-5829
Phone number: 386-574-7417
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Mailing Address
Dr. JOSE L, RIVERA Ph.D.
13816 CHIHULY CT
ORLANDO, FL 32824-6100
Phone number: 407-240-1182
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