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1841637014
JOSE RAUL VIDAL
MIAMI, FL
NPI
1841637014
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2013-05-29
Last Update Date
2019-04-19
Business Address
Mr. JOSE RAUL VIDAL
1030 SW 96TH AVE
MIAMI, FL 33174-2931
Phone number: 772-626-0295
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Mailing Address
Mr. JOSE RAUL VIDAL
1030 SW 96TH AVE
MIAMI, FL 33174-2931
Phone number: 772-626-0295
Copy
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