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1710300470
NASTASIA DE LAMAR
OPA LOCKA, FL
NPI
1710300470
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
305R00000X Preferred Provider Organization
Enumeration Date
2014-01-30
Last Update Date
2014-01-30
Business Address
Miss NASTASIA DE LAMAR
13740 NW 19TH AVE BAY 16
OPA LOCKA, FL 33054-4211
Phone number: 305-915-9666
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Mailing Address
Miss NASTASIA DE LAMAR
13740 NW 19TH AVE BAY 16
OPA LOCKA, FL 33054
Phone number: 305-915-9666
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