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1750032470
JUAN SEBASTIAN GALLO
FORT LAUDERDALE, FL
NPI
1750032470
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL 20238)
Enumeration Date
2022-01-13
Last Update Date
2022-01-13
Business Address
JUAN SEBASTIAN GALLO
2701 W CYPRESS CREEK RD
FORT LAUDERDALE, FL 33309-1703
Phone number: 954-612-2977
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Mailing Address
JUAN SEBASTIAN GALLO
1422 SW 106TH WAY
DAVIE, FL 33324-7102
Phone number: 954-612-2977
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