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1669846747
HAROLD PONCE
MIAMI, FL
NPI
1669846747
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2015-11-30
Last Update Date
2015-11-30
Business Address
-- HAROLD PONCE Pac Waiver
3550 BISCAYNE BLVD
MIAMI, FL 33137-3841
Phone number: 305-576-6611
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Mailing Address
-- HAROLD PONCE Pac Waiver
3601 FEDERAL HWY
MIAMI, FL 33137-3795
Phone number: 305-576-6611
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