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1336649334
MARIA ANGELICA BOLANOS SAN ROQUE
SUNRISE, FL
NPI
1336649334
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: NM PT4440)
Enumeration Date
2018-02-15
Last Update Date
2018-02-15
Business Address
MARIA ANGELICA BOLANOS SAN ROQUE
1580 SAWGRASS CORPORATE PKWY STE 200
SUNRISE, FL 33323-2869
Phone number: 954-739-4247
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Mailing Address
MARIA ANGELICA BOLANOS SAN ROQUE
410 E BOW DR APT A15
CHEROKEE, IA 51012-1145
Phone number: 505-205-2080
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