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1497207021
MIVIALA LAGO FERNANDEZ
HIALEAH, FL
NPI
1497207021
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
246ZC0007X Specialist/Technologist, Other, Surgical Assistant
(Licence: FL 16651)
Enumeration Date
2016-10-31
Last Update Date
2016-10-31
Business Address
-- MIVIALA LAGO FERNANDEZ
2332 W 56TH ST APT 9
HIALEAH, FL 33016-7054
Phone number: 786-857-3777
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Mailing Address
-- MIVIALA LAGO FERNANDEZ
2332 W 56TH ST APT 9
HIALEAH, FL 33016-7054
Phone number: 786-857-3777
Copy
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