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1356121990
BYANCA BOLIVARD
PEMBROKE PINES, FL
NPI
1356121990
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: FL 16536)
Enumeration Date
2023-10-02
Last Update Date
2023-10-02
Business Address
BYANCA BOLIVARD COTA/L
1520 NW 140TH MNR
PEMBROKE PINES, FL 33028-3011
Phone number: 954-696-8221
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Mailing Address
BYANCA BOLIVARD COTA/L
575 NW 143RD ST
MIAMI, FL 33168-4113
Phone number: 786-468-4011
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