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1245822212
CONSUELO R ESCALONA FONSECA
MIAMI LAKES, FL
NPI
1245822212
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: FL CBHCBMDS101045)
Enumeration Date
2021-02-10
Last Update Date
2021-02-10
Business Address
CONSUELO R ESCALONA FONSECA
5190 NW 167TH ST STE 309
MIAMI LAKES, FL 33014-6338
Phone number: 929-330-5902
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Mailing Address
CONSUELO R ESCALONA FONSECA
5190 NW 167TH ST STE 309
MIAMI LAKES, FL 33014-6338
Phone number: 929-330-5902
Copy
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