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1013795608
IVELISSE MEDINA
ORLANDO, FL
NPI
1013795608
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QH0700X Clinic/Center, Hearing and Speech
(Licence: FL SI2200)
Enumeration Date
2023-09-15
Last Update Date
2023-09-15
Business Address
IVELISSE MEDINA SLPA
11993 KAJETAN LN
ORLANDO, FL 32827-7153
Phone number: 407-335-8578
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Mailing Address
IVELISSE MEDINA SLPA
11993 KAJETAN LN
ORLANDO, FL 32827-7153
Phone number: 407-335-8578
Copy
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