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1316176969
ALFA OSIRIS ILLESCAS
MIAMI, FL
NPI
1316176969
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: FL 13651)
Enumeration Date
2009-07-03
Last Update Date
2010-07-28
Business Address
-- ALFA OSIRIS ILLESCAS MSOTR/L
12400 SW 72ND ST
MIAMI, FL 33183-2514
Phone number: 305-760-6570
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Mailing Address
-- ALFA OSIRIS ILLESCAS MSOTR/L
12400 SW 72ND ST
MIAMI, FL 33183-2514
Phone number: 305-760-6570
Copy
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