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1518512706
IVAN GONZALEZ
MIAMI, FL
NPI
1518512706
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
Enumeration Date
2019-08-05
Last Update Date
2019-08-05
Business Address
IVAN GONZALEZ
738 SW 97TH COURT CIR
MIAMI, FL 33174-1987
Phone number: 305-799-8632
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Mailing Address
IVAN GONZALEZ
738 SW 97TH COURT CIR
MIAMI, FL 33174-1987
Phone number: 305-799-8632
Copy
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