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1770843245
ELMO A ALTAZAN
POMPANO BEACH, FL
NPI
1770843245
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2012-05-18
Last Update Date
2012-05-18
Business Address
Mr. ELMO A ALTAZAN
2708 NE 14TH ST APT 5
POMPANO BEACH, FL 33062-3564
Phone number: 888-880-9270
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Mailing Address
Mr. ELMO A ALTAZAN
4867 BIRDIE LN
SHREVEPORT, LA 71107-3407
Phone number: 318-244-4840
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