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1023476215
JUDITH ESTHER DISLA
LUTZ, FL
NPI
1023476215
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2016-02-03
Last Update Date
2016-02-03
Business Address
Mrs. JUDITH ESTHER DISLA
16102 N FLORIDA AVE
LUTZ, FL 33549-6129
Phone number: 813-873-1936
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Mailing Address
Mrs. JUDITH ESTHER DISLA
11110 CREEK HAVEN DR
RIVERVIEW, FL 33569-6206
Phone number: 813-842-8004
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