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1245096502
LIUDA CORSACK
MIAMI LAKES, FL
NPI
1245096502
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: FL APRN11024620)
Enumeration Date
2024-02-26
Last Update Date
2024-02-26
Business Address
LIUDA CORSACK
18136 NW 61ST PL
MIAMI LAKES, FL 33015
Phone number: 786-290-2471
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Mailing Address
LIUDA CORSACK
18136 NW 61ST PL
MIAMI LAKES, FL 33015
Phone number: 786-290-2471
Copy
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