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1205109998
SANDO COURAGE BRACEWELL
POMPANO BEACH, FL
NPI
1205109998
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
(Licence: PA 25881222)
Enumeration Date
2012-02-11
Last Update Date
2012-02-11
Business Address
MR. SANDO COURAGE BRACEWELL
2708 NE 14TH ST SUITE 5
POMPANO BEACH, FL 33062-3565
Phone number: 888-880-9270
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Mailing Address
MR. SANDO COURAGE BRACEWELL
802 NW 13TH AVE APT A
DANIA BEACH, FL 33004-2353
Phone number: 267-269-2827
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