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1487066312
IVAN RISCO
MIAMI, FL
NPI
1487066312
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747A0650X Technician, Attendant Care Provider
(Licence: FL 158211)
Enumeration Date
2014-05-27
Last Update Date
2014-05-27
Business Address
-- IVAN RISCO
14736 SW 88 ST
MIAMI, FL 33196
Phone number: 305-387-3300
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Mailing Address
-- IVAN RISCO
14736 SW 88TH ST
MIAMI, FL 33196-1481
Phone number: 305-387-3300
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