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1386013084
LISSELOT T MESA
HOMESTEAD, FL
NPI
1386013084
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
251E00000X Home Health
(Licence: FL OTA14395)
Enumeration Date
2015-09-23
Last Update Date
2015-09-23
Business Address
-- LISSELOT T MESA COTA
311 NE 8TH ST
HOMESTEAD, FL 33030-4738
Phone number: 305-248-8600
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Mailing Address
-- LISSELOT T MESA COTA
11055 SW 161ST TER
MIAMI, FL 33157-2840
Phone number: 305-984-6080
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