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1720556772
JOSE CARLOS ESTRADA
HOMESTEAD, FL
NPI
1720556772
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: FL OT22814)
Enumeration Date
2018-11-07
Last Update Date
2023-01-01
Business Address
JOSE CARLOS ESTRADA
11513 SW 248TH TER
HOMESTEAD, FL 33032-3431
Phone number: 305-951-2687
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Mailing Address
JOSE CARLOS ESTRADA
11513 SW 248TH TER
HOMESTEAD, FL 33032-3431
Phone number: 305-951-2687
Copy
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