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1124229786
LARA V CARBALLO
ORLANDO, FL
NPI
1124229786
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Other Name
LARA BOUFFARD
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2251P0200X Physical Therapist, Pediatrics
(Licence: FL PT13675)
Enumeration Date
2007-05-30
Last Update Date
2007-07-08
Business Address
Mrs. LARA V CARBALLO RPT
2739 UPPER PARK RD
ORLANDO, FL 32814-6148
Phone number: 407-443-9696
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Mailing Address
Mrs. LARA V CARBALLO RPT
2739 UPPER PARK RD
ORLANDO, FL 32814-6148
Phone number: 407-443-9696
Copy
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