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1407590441
ELYZABETH BOLANOS
HIALEAH, FL
NPI
1407590441
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: FL 12632)
Enumeration Date
2022-04-26
Last Update Date
2022-04-26
Business Address
Mrs. ELYZABETH BOLANOS COTA/L
985 E 2ND ST
HIALEAH, FL 33010-5157
Phone number: 786-704-4583
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Mailing Address
Mrs. ELYZABETH BOLANOS COTA/L
985 E 2ND ST
HIALEAH, FL 33010-5157
Phone number: 786-704-4583
Copy
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