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1376955112
MARIANELA LEE
BROOKSVILLE, FL
NPI
1376955112
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
156FX1800X Technician/Technologist, Optician
(Licence: FL DO 5693)
Enumeration Date
2014-05-28
Last Update Date
2014-05-28
Business Address
-- MARIANELA LEE
13132 CORTEZ BLVD
BROOKSVILLE, FL 34613-4858
Phone number: 352-597-0410
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Mailing Address
-- MARIANELA LEE
4399 35TH ST N
ST PETERSBURG, FL 33714-3722
Phone number: 727-526-0501
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