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1194149740
RENATO LASAM MIGUEL
DELRAY BEACH, FL
NPI
1194149740
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL PT29008)
Enumeration Date
2014-02-18
Last Update Date
2014-02-18
Business Address
Mr. RENATO LASAM MIGUEL PT
16089 POPPYSEED CIR UNIT 2008
DELRAY BEACH, FL 33484-6314
Phone number: 561-699-3714
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Mailing Address
Mr. RENATO LASAM MIGUEL PT
16089 POPPYSEED CIRCLE, SUITE 2008
DELRAY BEACH, FL 33484
Phone number: 561-699-3714
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