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1740961713
MARTINA BIANCA LOPEZ
DORAL, FL
NPI
1740961713
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: FL 11401)
Enumeration Date
2023-07-31
Last Update Date
2023-09-22
Business Address
MARTINA BIANCA LOPEZ
9915 NW 41ST ST STE 220
DORAL, FL 33178-2445
Phone number: 305-558-3724
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Mailing Address
MARTINA BIANCA LOPEZ
15280 NW 79TH CT STE 200
MIAMI LAKES, FL 33016-5873
Phone number: 305-558-3724
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