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1316316359
RANDY LA VILLA
MIAMI, FL
NPI
1316316359
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: FL SA14812)
Enumeration Date
2015-09-21
Last Update Date
2019-11-11
Business Address
RANDY LA VILLA SLP
7872 W FLAGLER ST
MIAMI, FL 33144
Phone number: 786-360-5029
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Mailing Address
RANDY LA VILLA SLP
2500 W 67TH PL APT 24
HIALEAH, FL 33016-2816
Phone number: 305-873-9720
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