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Individual
MIDIAN CLETO
Active
Individual
MIDIAN CLETO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
886064500
FL
225100000X
Physical Therapist
Primary
PT10035
FL
Other
Enumeration date
12/11/2009
Last updated
12/11/2009
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