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1720169840
LACHANDA TANISHA DUDLEY
MIAMI, FL
NPI
1720169840
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL ME92152)
Enumeration Date
2006-10-17
Last Update Date
2013-01-30
Business Address
Dr. LACHANDA TANISHA DUDLEY M.D.
1611 NW 12TH AVE
MIAMI, FL 33136-1005
Phone number: 305-243-6484
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Mailing Address
Dr. LACHANDA TANISHA DUDLEY M.D.
1611 NW 12TH AVE
MIAMI, FL 33136-1005
Phone number: 305-243-6484
Copy
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