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1790064715
SHAI SHABTAI LIBSON
MIAMI, FL
NPI
1790064715
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: FL TRN16415)
Enumeration Date
2011-08-08
Last Update Date
2011-08-08
Business Address
-- SHAI SHABTAI LIBSON
1611 NW 12TH AVE
MIAMI, FL 33136-1005
Phone number: 305-243-8787
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Mailing Address
-- SHAI SHABTAI LIBSON
1035 NE 179TH TER
NORTH MIAMI BEACH, FL 33162-1256
Phone number:
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