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1710427661
KEVEN BRYAN FERNANDEZ
MIAMI, FL
NPI
1710427661
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL PTA26995)
Enumeration Date
2017-02-26
Last Update Date
2017-02-26
Business Address
-- KEVEN BRYAN FERNANDEZ PTA
13717 SW 152ND ST
MIAMI, FL 33177-1106
Phone number: 305-252-1400
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Mailing Address
-- KEVEN BRYAN FERNANDEZ PTA
8800 NW 108TH LN
HIALEAH, FL 33018-4525
Phone number: 305-205-0668
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