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1245650175
ESTEBAN COLON
TAMPA, FL
NPI
1245650175
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: FL ADC-001673-2014)
Enumeration Date
2014-04-18
Last Update Date
2014-04-18
Business Address
Mr. ESTEBAN COLON
4422 E COLUMBUS DR
TAMPA, FL 33605-3233
Phone number: 813-384-4013
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Mailing Address
Mr. ESTEBAN COLON
4422 E COLUMBUS DR
TAMPA, FL 33605-3233
Phone number: 813-384-4013
Copy
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