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1568973824
DAVID JOSE MEDINA
HOMESTEAD, FL
NPI
1568973824
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2355S0801X Specialist/Technologist, Speech-Language Assistant
(Licence: FL SI2574)
Enumeration Date
2017-10-13
Last Update Date
2017-10-13
Business Address
DAVID JOSE MEDINA
33 N KROME AVE
HOMESTEAD, FL 33030-6014
Phone number: 786-601-2042
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Mailing Address
DAVID JOSE MEDINA
2561 SE 11TH CT
HOMESTEAD, FL 33035-2127
Phone number: 787-702-8669
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