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1871061283
LAZARO TERESA-CALLEJA
HIALEAH, FL
NPI
1871061283
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 9413193)
Enumeration Date
2018-11-05
Last Update Date
2018-11-05
Business Address
LAZARO TERESA-CALLEJA NP
2715 WEST 73 PL
HIALEAH, FL 33016
Phone number: 786-613-9469
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Mailing Address
LAZARO TERESA-CALLEJA NP
2715 W 73RD PL
HIALEAH, FL 33016-5424
Phone number:
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