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1306963384
ROMAN IVAN ZALAC
MIAMI, FL
NPI
1306963384
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: FL OT 9607)
Enumeration Date
2007-03-23
Last Update Date
2007-07-08
Business Address
-- ROMAN IVAN ZALAC OTR
13503 SW 104TH CT
MIAMI, FL 33176-6033
Phone number: 305-979-9988
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Mailing Address
-- ROMAN IVAN ZALAC OTR
16651 SW 79TH TER
MIAMI, FL 33193-5776
Phone number: 305-546-5483
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