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1346738341
JAVIER ANTONIO MADERA
ORLANDO, FL
NPI
1346738341
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-04-25
Last Update Date
2018-04-25
Business Address
JAVIER ANTONIO MADERA
1002 N SEMORAN BLVD
ORLANDO, FL 32807-3531
Phone number: 407-275-8939
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Mailing Address
JAVIER ANTONIO MADERA
613 LEGACY PARK DR
CASSELBERRY, FL 32707-2406
Phone number: 407-953-3468
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