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1215007620
RAFAEL E. FUENTES
TAMPA, FL
NPI
1215007620
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL I.M.C. 5865)
Enumeration Date
2006-11-09
Last Update Date
2007-07-08
Business Address
Mr. RAFAEL E. FUENTES M.S.
8019 N HIMES AVE SUITE 400
TAMPA, FL 33614-2712
Phone number: 813-732-6876
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Mailing Address
Mr. RAFAEL E. FUENTES M.S.
4073 DOLPHIN DR
TAMPA, FL 33617-7326
Phone number: 813-732-6876
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