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1629113568
PAUL MODESTO
BOCA RATON, FL
NPI
1629113568
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist Clinical
(Licence: FL PY2368)
Enumeration Date
2007-02-20
Last Update Date
2024-07-12
Business Address
DR. PAUL MODESTO PHD
22456 ENSENADA WAY
BOCA RATON, FL 33433-4627
Phone number: 561-213-8865
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Mailing Address
DR. PAUL MODESTO PHD
5301 N FEDERAL HWY SUITE 270
BOCA RATON, FL 33487-4910
Phone number: 561-241-6628
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