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1790131167
DANIEL LEYVA
DEERFIELD BEACH, FL
NPI
1790131167
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
324500000X Substance Abuse Rehabilitation Facility
(Licence: FL MH13526)
Enumeration Date
2016-05-04
Last Update Date
2016-05-04
Business Address
-- DANIEL LEYVA
1431 SW 9TH AVE
DEERFIELD BEACH, FL 33441-6220
Phone number: 954-834-5099
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Mailing Address
-- DANIEL LEYVA
10324 NW 51ST ST
CORAL SPRINGS, FL 33076-1743
Phone number: 954-344-8967
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