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1083760060
LARA DEDMON
BROOKSVILLE, FL
NPI
1083760060
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: FL SA 3275)
Enumeration Date
2007-01-25
Last Update Date
2019-08-12
Business Address
LARA DEDMON
22168 GARMISCH WAY
BROOKSVILLE, FL 34601-5706
Phone number: 352-797-0966
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Mailing Address
LARA DEDMON
22168 GARMISCH WAY
BROOKSVILLE, FL 34601-5706
Phone number:
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