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1649777038
LATARA AUGUSTIN
KISSIMMEE, FL
NPI
1649777038
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: FL OTA16076)
Enumeration Date
2018-04-11
Last Update Date
2018-04-11
Business Address
LATARA AUGUSTIN
2674 STRATHAM CT
KISSIMMEE, FL 34741-7785
Phone number: 407-692-3436
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Mailing Address
LATARA AUGUSTIN
2674 STRATHAM CT
KISSIMMEE, FL 34741-7785
Phone number: 407-692-3436
Copy
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