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1003680638
KELLY YURANI LICONA
DORAL, FL
NPI
1003680638
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL PT40976)
Enumeration Date
2023-11-14
Last Update Date
2023-11-14
Business Address
KELLY YURANI LICONA PT
8200 NW 27TH ST STE 101
DORAL, FL 33122-1902
Phone number: 305-591-4181
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Mailing Address
KELLY YURANI LICONA PT
3480 NW 85TH CT APT 310
DORAL, FL 33122-1961
Phone number: 954-871-5045
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