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1497066542
EVELIO DE LA FUENTE
MIAMI, FL
NPI
1497066542
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2010-06-23
Last Update Date
2010-06-23
Business Address
-- EVELIO DE LA FUENTE
165 SW 63RD AVE
MIAMI, FL 33144-3113
Phone number: 305-261-8023
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Mailing Address
-- EVELIO DE LA FUENTE
165 SW 63RD AVE
MIAMI, FL 33144-3113
Phone number: 305-261-8023
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