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1265657316
LESLIE CHIAVENTONE LOPEZ
TAMPA, FL
NPI
1265657316
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: FL SA15418)
Enumeration Date
2007-04-16
Last Update Date
2018-03-17
Business Address
LESLIE CHIAVENTONE LOPEZ MS, CCC
4202 E FOWLER AVE STOP PCD1017
TAMPA, FL 33620-3827
Phone number: 813-974-9844
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Mailing Address
LESLIE CHIAVENTONE LOPEZ MS, CCC
PO BOX 917770
ORLANDO, FL 32891-0001
Phone number:
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