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1548570757
LELLANY VIVANCO
MIAMI, FL
NPI
1548570757
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: FL SA11115)
Enumeration Date
2010-10-21
Last Update Date
2015-05-18
Business Address
-- LELLANY VIVANCO SLP
1405 SW 107TH AVE SUITE 301-H1
MIAMI, FL 33174-2533
Phone number: 305-602-8098
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Mailing Address
-- LELLANY VIVANCO SLP
1405 SW 107TH AVE SUITE 301-H1
MIAMI, FL 33174-2533
Phone number: 305-602-8098
Copy
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