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1700351384
ALEXEI ALFONSO
DORAL, FL
NPI
1700351384
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: FL CBHCM101972-P)
Enumeration Date
2018-10-10
Last Update Date
2018-10-10
Business Address
ALEXEI ALFONSO
1905 NW 82ND AVE
DORAL, FL 33126-1011
Phone number: 786-420-5924
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Mailing Address
ALEXEI ALFONSO
1905 NW 82ND AVE
DORAL, FL 33126-1011
Phone number: 786-420-5924
Copy
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