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1720474000
ANGELO ALAN BALDONADO
PEMBROKE PINES, FL
NPI
1720474000
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: FL OTA 14047)
Enumeration Date
2015-04-13
Last Update Date
2015-04-24
Business Address
-- ANGELO ALAN BALDONADO COTA/L
2260 NW 72ND WAY
PEMBROKE PINES, FL 33024-1047
Phone number: 954-257-0605
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Mailing Address
-- ANGELO ALAN BALDONADO COTA/L
2260 NW 72ND WAY
PEMBROKE PINES, FL 33024-1047
Phone number: 954-257-0605
Copy
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