MARIO IVAN GALIANO-CEVALLOS

LAKE WORTH, FL
NPI1710099213
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA9100820)
Enumeration Date2006-08-31
Last Update Date2007-07-08
Business Address
-- MARIO IVAN GALIANO-CEVALLOS P.A
4469 S CONGRESS AVE STE 106
LAKE WORTH, FL 33461-4726
Phone number: 561-642-0768
Mailing Address
-- MARIO IVAN GALIANO-CEVALLOS P.A
4469 S CONGRESS AVE STE 106
LAKE WORTH, FL 33461-4726
Phone number: 561-642-0768
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