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1750335147
MARA DE LA VEGA
LAKE MARY, FL
NPI
1750335147
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL ME73219)
Enumeration Date
2006-05-20
Last Update Date
2008-12-08
Business Address
MARA DE LA VEGA MD
1307 S. INTERNATIONAL PARKWAY SUITE 2091
LAKE MARY, FL 32806-2916
Phone number: 407-771-0404
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Mailing Address
MARA DE LA VEGA MD
1307 S. INTERNATIONAL PARKWAY SUITE 2091
LAKE MARY, FL 32806-2916
Phone number: 407-771-0404
Copy
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