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1609691849
PAUL PONCE LLANOS
TAMPA, FL
NPI
1609691849
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: FL OT4450)
Enumeration Date
2024-11-21
Last Update Date
2024-11-21
Business Address
PAUL PONCE LLANOS OTR/L
13000 BRUCE B DOWNS BLVD
TAMPA, FL 33612-4745
Phone number: 813-972-2000
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Mailing Address
PAUL PONCE LLANOS OTR/L
15635 INDIAN QUEEN DR
ODESSA, FL 33556-3012
Phone number: 813-391-6059
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