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1245973205
VIDAL LAZO
CORAL GABLES, FL
NPI
1245973205
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL 21331)
Enumeration Date
2022-04-18
Last Update Date
2022-04-18
Business Address
VIDAL LAZO RMHCI
4649 PONCE DE LEON BLVD
CORAL GABLES, FL 33146-2114
Phone number: 786-287-8828
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Mailing Address
VIDAL LAZO RMHCI
4649 PONCE DE LEON BLVD
CORAL GABLES, FL 33146-2114
Phone number: 786-287-8828
Copy
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