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1205558467
LEONARDO GONZALEZ BAHAMONDE
VALRICO, FL
NPI
1205558467
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL PTA32051)
Enumeration Date
2022-09-14
Last Update Date
2022-09-14
Business Address
LEONARDO GONZALEZ BAHAMONDE
2808 LITHIA PINECREST RD
VALRICO, FL 33596-5615
Phone number: 813-573-2905
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Mailing Address
LEONARDO GONZALEZ BAHAMONDE
902 ESSEX RD
BRANDON, FL 33510-2735
Phone number:
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