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1770119471
LISSET LEON VIDAL
HIALEAH, FL
NPI
1770119471
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
246ZC0007X Specialist/Technologist, Other, Surgical Assistant
(Licence: FL 20155)
Enumeration Date
2020-03-14
Last Update Date
2020-03-14
Business Address
LISSET LEON VIDAL
3131 W 16TH AVE # LOTE10
HIALEAH, FL 33012-4646
Phone number: 786-599-2407
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Mailing Address
LISSET LEON VIDAL
3131 W 16TH AVE # LOTE10
HIALEAH, FL 33012-4646
Phone number: 786-599-2407
Copy
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