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1265550107
MIRTA BATISTA-TATUM
MIRAMAR, FL
NPI
1265550107
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL PT4025)
Enumeration Date
2007-03-27
Last Update Date
2007-07-09
Business Address
Ms. MIRTA BATISTA-TATUM
5056 SW 162ND AVE
MIRAMAR, FL 33027-4957
Phone number: 954-435-7143
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Mailing Address
Ms. MIRTA BATISTA-TATUM
5056 SW 162ND AVE
MIRAMAR, FL 33027-4957
Phone number: 954-435-7143
Copy
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