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1427687011
DR. MONICA LAKE, PLLC
RIVERVIEW, FL
NPI
1427687011
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Entity Type
Organization
Authorized Contact
MONICA LAKE
Owner
813-444-8760
Organization Subpart ?
No
Primary Taxonomy
103T00000X Psychologist
Enumeration Date
2020-04-06
Last Update Date
2020-04-06
Business Address
DR. MONICA LAKE, PLLC
10823 BOYETTE RD
RIVERVIEW, FL 33569-8012
Phone number: 813-444-8760
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Mailing Address
DR. MONICA LAKE, PLLC
10823 BOYETTE RD
RIVERVIEW, FL 33569-8012
Phone number: 813-444-8760
Copy
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