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1326605908
LUIS ANTONIO OTERO DESANTIAGO
MIAMI LAKES, FL
NPI
1326605908
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH16655)
Enumeration Date
2019-05-20
Last Update Date
2019-05-20
Business Address
LUIS ANTONIO OTERO DESANTIAGO
14411 COMMERCE WAY STE 350
MIAMI LAKES, FL 33016-1600
Phone number: 305-530-8119
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Mailing Address
LUIS ANTONIO OTERO DESANTIAGO
14411 COMMERCE WAY STE 350
MIAMI LAKES, FL 33016-1600
Phone number: 305-530-8119
Copy
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