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1275914111
DIEGO FERNANDO GOMEZ
FORT MYERS, FL
NPI
1275914111
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH14194)
Enumeration Date
2015-06-16
Last Update Date
2020-09-03
Business Address
DIEGO FERNANDO GOMEZ LCAS-A
15901 BASS RD STE 108
FORT MYERS, FL 33908
Phone number: 239-343-6050
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Mailing Address
DIEGO FERNANDO GOMEZ LCAS-A
PO BOX 2147
FORT MYERS, FL 33902-2147
Phone number: 239-343-6050
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