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1568813053
GIANCARLO HERNANDEZ
HIALEAH, FL
NPI
1568813053
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: FL OTA15285)
Enumeration Date
2016-06-25
Last Update Date
2016-06-25
Business Address
Mr. GIANCARLO HERNANDEZ COTA
18810 NW 77TH CT
HIALEAH, FL 33015-5241
Phone number: 786-553-4847
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Mailing Address
Mr. GIANCARLO HERNANDEZ COTA
18810 NW 77TH CT
HIALEAH, FL 33015-5241
Phone number: 786-553-4847
Copy
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