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Individual

RAUL RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BS

Contact information

Practice address
4469 NW 167TH ST, OPA LOCKA, FL 33055-4311
(305) 621-1455
(305) 621-5508
Mailing address
11031 NE 6TH AVE, MIAMI, FL 33161-7182
(305) 398-6100
(305) 757-4465

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
09/06/2006
Last updated
07/08/2007
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