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1720192156
RAFAEL DEJESUS MOTA
CORAL GABLES, FL
NPI
1720192156
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9100826)
Enumeration Date
2006-08-19
Last Update Date
2007-07-08
Business Address
-- RAFAEL DEJESUS MOTA PA
3940 W FLAGLER ST SUITE 201
CORAL GABLES, FL 33134-1613
Phone number: 786-566-9900
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Mailing Address
-- RAFAEL DEJESUS MOTA PA
15483 SW 12 TERRACE
MIAMI, FL 33194
Phone number: 305-266-0135
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