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1710233028
FANNY PERALTA CARRIZOSA
BRANDON, FL
NPI
1710233028
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2012-07-24
Last Update Date
2012-07-24
Business Address
-- FANNY PERALTA CARRIZOSA
708 PEARL CIR
BRANDON, FL 33510-4246
Phone number: 813-409-0435
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Mailing Address
-- FANNY PERALTA CARRIZOSA
15008 DEER MEADOW DR
LUTZ, FL 33559-3120
Phone number: 813-785-2114
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