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1891327888
JOSE ALBERTO VIDAL GARCIA
DORAL, FL
NPI
1891327888
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: FL CBHCMP100327)
Enumeration Date
2020-02-07
Last Update Date
2020-02-07
Business Address
JOSE ALBERTO VIDAL GARCIA
1905 NW 82ND AVE
DORAL, FL 33126-1011
Phone number: 786-420-5924
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Mailing Address
JOSE ALBERTO VIDAL GARCIA
1905 NW 82ND AVE
DORAL, FL 33126-1011
Phone number: 786-420-5924
Copy
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