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1417492505
JOSE MANUEL MEDINA ROMERO
WEST PALM BEACH, FL
NPI
1417492505
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2016-12-27
Last Update Date
2016-12-27
Business Address
JOSE MANUEL MEDINA ROMERO MA
1639 FORUM PL STE 7
WEST PALM BEACH, FL 33401-2330
Phone number: 561-712-8821
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Mailing Address
JOSE MANUEL MEDINA ROMERO MA
2312 ROLLING CREEK RUN
FORT WORTH, TX 76108-4940
Phone number:
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