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1124124854
MIRIAM MERCEDES LARA
HIALEAH, FL
NPI
1124124854
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208D00000X General Practice
(Licence: FL ME47182)
Enumeration Date
2006-09-16
Last Update Date
2008-05-23
Business Address
-- MIRIAM MERCEDES LARA
2100 W 68TH ST
HIALEAH, FL 33016-1804
Phone number: 305-362-3969
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Mailing Address
-- MIRIAM MERCEDES LARA
2100 W 68TH ST
HIALEAH, FL 33016-1804
Phone number: 305-362-3969
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