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1538864020
YADIRA DE JESUS LUGO
KISSIMMEE, FL
NPI
1538864020
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
Additional Taxonomies
252Y00000X Early Intervention Provider Agency
Enumeration Date
2023-04-03
Last Update Date
2023-04-03
Business Address
YADIRA DE JESUS LUGO
1200 N CENTRAL AVE STE 110
KISSIMMEE, FL 34741-4439
Phone number: 407-530-5063
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Mailing Address
YADIRA DE JESUS LUGO
3121 ROYAL TERN DR
WINTER HAVEN, FL 33881-7305
Phone number: 863-207-7368
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