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1447908462
DIANA P LARA
TAMARAC, FL
NPI
1447908462
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 11018747)
Enumeration Date
2022-03-17
Last Update Date
2022-03-17
Business Address
DIANA P LARA NP
5455 NW 57TH ST
TAMARAC, FL 33319-2588
Phone number: 954-625-0487
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Mailing Address
DIANA P LARA NP
5455 NW 57TH ST
TAMARAC, FL 33319-2588
Phone number: 954-625-0487
Copy
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