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1649454091
IRINA LICEA
MIAMI, FL
NPI
1649454091
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL ME 100912)
Enumeration Date
2007-12-20
Last Update Date
2014-06-09
Business Address
Dr. IRINA LICEA MD
1321 NW 14TH ST STE 102
MIAMI, FL 33125-1653
Phone number: 305-545-4980
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Mailing Address
Dr. IRINA LICEA MD
1321 NW 14TH ST STE 102
MIAMI, FL 33125-1653
Phone number: 305-545-4980
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