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1801199393
JESUS R FONSECA
MIAMI, FL
NPI
1801199393
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
261QP2000X Clinic/Center, Physical Therapy
Enumeration Date
2010-12-06
Last Update Date
2010-12-06
Business Address
-- JESUS R FONSECA m.a
8260 W FLAGLER ST STE 1E
MIAMI, FL 33144-2069
Phone number: 305-746-8504
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Mailing Address
-- JESUS R FONSECA m.a
8260 W FLAGLER ST STE 1E
MIAMI, FL 33144-2069
Phone number: 305-746-8504
Copy
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