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1467769505
OMAR BALBOA LOPEZ
MIAMI, FL
NPI
1467769505
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
246ZS0410X Specialist/Technologist, Other, Surgical Technologist
(Licence: FL 10176)
Enumeration Date
2010-09-10
Last Update Date
2010-09-10
Business Address
-- OMAR BALBOA LOPEZ CSA
3661 S MIAMI AVE SUITE 708
MIAMI, FL 33133-4236
Phone number: 305-858-9879
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Mailing Address
-- OMAR BALBOA LOPEZ CSA
3661 S MIAMI AVE SUITE 708
MIAMI, FL 33133-4236
Phone number: 305-858-9879
Copy
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