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1932564390
SERGIO ANTONIO ENCINOSA
SEMINOLE, FL
NPI
1932564390
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2015-12-29
Last Update Date
2016-01-04
Business Address
-- SERGIO ANTONIO ENCINOSA
12890 POINSETTIA AVE
SEMINOLE, FL 33776-4317
Phone number: 786-351-1589
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Mailing Address
-- SERGIO ANTONIO ENCINOSA
5949 BAYVIEW CIR S
GULFPORT, FL 33707-3929
Phone number: 786-351-1589
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