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1336680255
ANDY MOHAMMED
TAMPA, FL
NPI
1336680255
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
310400000X Assisted Living Facility
Enumeration Date
2017-03-10
Last Update Date
2017-03-10
Business Address
-- ANDY MOHAMMED
7509 CANAL BLVD
TAMPA, FL 33615-5605
Phone number: 813-453-2769
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Mailing Address
-- ANDY MOHAMMED
11794 CASA LAGO LN APT 102
TAMPA, FL 33626-1645
Phone number: 813-453-2769
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