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1396436515
EMIR DOMAZET
CLEARWATER, FL
NPI
1396436515
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
2023-05-18
Last Update Date
2023-05-18
Business Address
EMIR DOMAZET
1890 OAK PARK DR S
CLEARWATER, FL 33764-6437
Phone number: 727-656-8725
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Mailing Address
EMIR DOMAZET
1890 OAK PARK DR S
CLEARWATER, FL 33764-6437
Phone number: 727-656-8725
Copy
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