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1356084404
CLYDE EDWARD BURROUGHS
MIAMI LAKES, FL
NPI
1356084404
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: FL 23071)
Enumeration Date
2022-04-17
Last Update Date
2022-04-17
Business Address
CLYDE EDWARD BURROUGHS OTR
15291 NW 60TH AVE STE 101
MIAMI LAKES, FL 33014-2459
Phone number: 305-705-7702
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Mailing Address
CLYDE EDWARD BURROUGHS OTR
15291 NW 60TH AVE STE 101
MIAMI LAKES, FL 33014-2459
Phone number: 305-705-7702
Copy
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