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1003454455
MISLAIDY LOPEZ
HIALEAH, FL
NPI
1003454455
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL 11005339)
Enumeration Date
2019-12-17
Last Update Date
2019-12-17
Business Address
MISLAIDY LOPEZ
714 E 18TH ST
HIALEAH, FL 33013-4126
Phone number: 305-308-2148
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Mailing Address
MISLAIDY LOPEZ
714 E 18TH ST
HIALEAH, FL 33013-4126
Phone number:
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