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1154856763
MA. LOURDES ENRIQUEZ
PORT CHARLOTTE, FL
NPI
1154856763
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL PT30921)
Enumeration Date
2017-04-21
Last Update Date
2017-04-21
Business Address
-- MA. LOURDES ENRIQUEZ
4166 TAMIAMI TRL SUITE A
PORT CHARLOTTE, FL 33952-9255
Phone number: 941-766-1110
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Mailing Address
-- MA. LOURDES ENRIQUEZ
4166 TAMIAMI TRL SUITE A
PORT CHARLOTTE, FL 33952-9255
Phone number:
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