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1407219074
LAURA T MOYLAN
PORT ST LUCIE, FL
NPI
1407219074
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174N00000X Lactation Consultant, Non-RN
(Licence: GA 11875)
Enumeration Date
2016-03-31
Last Update Date
2016-03-31
Business Address
-- LAURA T MOYLAN CLC
561 SE MARYDALE TER
PORT ST LUCIE, FL 34983-2217
Phone number: 478-361-8399
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Mailing Address
-- LAURA T MOYLAN CLC
561 SE MARYDALE TER
PORT ST LUCIE, FL 34983-2217
Phone number: 478-361-8399
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