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1104928027
LAUREN R VIVAS
OAKLAND PARK, FL
NPI
1104928027
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL PT18874)
Enumeration Date
2006-09-01
Last Update Date
2007-07-08
Business Address
Ms. LAUREN R VIVAS MSPT
5599 N DIXIE HWY
OAKLAND PARK, FL 33334-3406
Phone number: 954-229-7646
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Mailing Address
Ms. LAUREN R VIVAS MSPT
1615 FUNSTON ST
HOLLYWOOD, FL 33020-6411
Phone number: 954-929-7275
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