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1215697842
JUAN CARLOS GONZALEZ
MIAMI, FL
NPI
1215697842
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: FL CBHCMP101751)
Enumeration Date
2021-12-22
Last Update Date
2021-12-22
Business Address
JUAN CARLOS GONZALEZ
8765 SW 165TH AVE STE 105
MIAMI, FL 33193-5832
Phone number: 786-577-0024
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Mailing Address
JUAN CARLOS GONZALEZ
7101 SW 89TH CT APT 311
MIAMI, FL 33173-2452
Phone number:
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