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1043567639
LAURA MARIE MENDOZA
ROCKLEDGE, FL
NPI
1043567639
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL OS6362)
Enumeration Date
2012-08-14
Last Update Date
2014-06-17
Business Address
-- LAURA MARIE MENDOZA D.O.
220 BARTON BLVD UNIT C14
ROCKLEDGE, FL 32955-2742
Phone number: 321-639-5177
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Mailing Address
-- LAURA MARIE MENDOZA D.O.
PO BOX 1137
MELBOURNE, FL 32902-1137
Phone number: 321-952-9696
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