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1457189318
JUAN SEBASTIAN VIVIESCAS
MIAMI, FL
NPI
1457189318
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: PTA33629)
Enumeration Date
2024-07-23
Last Update Date
2024-07-23
Business Address
JUAN SEBASTIAN VIVIESCAS PTA
6812 SW 81ST ST
MIAMI, FL 33143-7708
Phone number: 305-905-4188
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Mailing Address
JUAN SEBASTIAN VIVIESCAS PTA
6812 SW 81ST ST
MIAMI, FL 33143-7708
Phone number: 305-905-4188
Copy
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