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1225312804
ROLANDO JET BACALZO GUMBA
SUNRISE, FL
NPI
1225312804
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: DE J1-0002693)
Enumeration Date
2011-09-30
Last Update Date
2011-09-30
Business Address
Mr. ROLANDO JET BACALZO GUMBA
1580 SAWGRASS CORPORATE PKWY STE 100
SUNRISE, FL 33323-2860
Phone number: 352-346-8420
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Mailing Address
Mr. ROLANDO JET BACALZO GUMBA
1580 SAWGRASS CORPORATE PKWY STE 100
SUNRISE, FL 33323-2860
Phone number: 352-346-8420
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