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1154708584
CARLOS LAZU
CAPE CORAL, FL
NPI
1154708584
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-05-06
Last Update Date
2015-05-06
Business Address
-- CARLOS LAZU
2804 DEL PRADO BLVD S
CAPE CORAL, FL 33904-7252
Phone number: 239-540-8011
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Mailing Address
-- CARLOS LAZU
2804 DEL PRADO BLVD S
CAPE CORAL, FL 33904-7252
Phone number: 239-540-8011
Copy
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