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1023439189
GEORLIZA VEGA
MIAMI LAKES, FL
NPI
1023439189
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL pat9107452)
Enumeration Date
2013-12-16
Last Update Date
2015-03-31
Business Address
Miss GEORLIZA VEGA PA
7975 NW 154TH ST
MIAMI LAKES, FL 33016-5863
Phone number: 305-556-5671
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Mailing Address
Miss GEORLIZA VEGA PA
7975 NW 154TH ST
MIAMI LAKES, FL 33016-5863
Phone number: 305-556-5671
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