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1942085147
THALIA LASTRA
FT LAUDERDALE, FL
NPI
1942085147
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-08-28
Last Update Date
2023-08-28
Business Address
THALIA LASTRA
3300 S UNIVERSITY DR
FT LAUDERDALE, FL 33328-2004
Phone number: 786-424-5983
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Mailing Address
THALIA LASTRA
4125 PINE GREEN RUN
LAKE WORTH, FL 33467-3928
Phone number: 786-424-5983
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