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1154573806
LARA MONICO
JACKSON, MS
NPI
1154573806
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: MS S2757)
Enumeration Date
2008-10-14
Last Update Date
2008-10-14
Business Address
-- LARA MONICO M.C.D.
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-815-6057
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Mailing Address
-- LARA MONICO M.C.D.
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number:
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