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1679204713
JORGE BAZANTE
HOLLYWOOD, FL
NPI
1679204713
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL 32002)
Enumeration Date
2022-06-20
Last Update Date
2022-06-20
Business Address
JORGE BAZANTE
53 ASH DR
HOLLYWOOD, FL 33026-1102
Phone number: 561-767-4421
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Mailing Address
JORGE BAZANTE
100 KINGS POINT DR APT 1510
SUNNY ISLES BEACH, FL 33160-4730
Phone number: 561-900-6650
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