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1275030876
JUAN LUIS SALAZAR DE LOS SANTOS
KISSIMMEE, FL
NPI
1275030876
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: FL ota16336)
Enumeration Date
2018-04-10
Last Update Date
2018-04-10
Business Address
Mr. JUAN LUIS SALAZAR DE LOS SANTOS COTA
201 PARK PLACE BLVD
KISSIMMEE, FL 34741-2345
Phone number: 800-378-7597
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Mailing Address
Mr. JUAN LUIS SALAZAR DE LOS SANTOS COTA
536 ROYAL PALM DR
KISSIMMEE, FL 34743
Phone number: 407-738-3522
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