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1770635716
LIGIA PATRICIA BARAJAS-BUSTOS
FORT MYERS, FL
NPI
1770635716
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QR0400X Clinic/Center, Rehabilitation
(Licence: FL 8236)
Enumeration Date
2007-01-18
Last Update Date
2007-07-08
Business Address
Mrs. LIGIA PATRICIA BARAJAS-BUSTOS O.T
3820 COLONIAL BLVD SUITE 103
FORT MYERS, FL 33912-1094
Phone number: 239-275-4411
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Mailing Address
Mrs. LIGIA PATRICIA BARAJAS-BUSTOS O.T
2320 S.W 19 PL
CAPE CORAL, FL 33991
Phone number: 239-738-2918
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