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1649200056
MARIANO LACAYO
MIAMI, FL
NPI
1649200056
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9100130)
Enumeration Date
2006-07-03
Last Update Date
2007-07-08
Business Address
-- MARIANO LACAYO
7821 CORAL WAY STE 101
MIAMI, FL 33155
Phone number: 305-261-1337
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Mailing Address
-- MARIANO LACAYO
PO BOX 830236
MIAMI, FL 33283-0236
Phone number: 305-261-1337
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