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1386739068
MANUEL ANGEL GROVA
HIALEAH, FL
NPI
1386739068
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
156FX1800X Technician/Technologist, Optician
(Licence: FL DO5339)
Enumeration Date
2006-10-04
Last Update Date
2007-07-08
Business Address
Mr. MANUEL ANGEL GROVA
1558 W 68TH ST
HIALEAH, FL 33014-3810
Phone number: 305-556-1308
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Mailing Address
Mr. MANUEL ANGEL GROVA
1558 W 68TH ST
HIALEAH, FL 33014-3810
Phone number: 305-556-1308
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