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1366762403
ELAINE MEDINA
MIAMI, FL
NPI
1366762403
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Former Name
ELAINE URDANETA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: FL SA16131)
Enumeration Date
2010-06-10
Last Update Date
2018-07-11
Business Address
ELAINE MEDINA M.S. CCC-SLP
16405 SW 72ND TER
MIAMI, FL 33193
Phone number: 305-801-0286
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Mailing Address
ELAINE MEDINA M.S. CCC-SLP
16405 SW 72ND TER
MIAMI, FL 33193-3700
Phone number: 305-801-0286
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