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1942835574
LOURDES BASULTO
HIALEAH, FL
NPI
1942835574
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
126800000X Dental Assistant
(Licence: FL DR134398)
Enumeration Date
2020-03-04
Last Update Date
2020-03-04
Business Address
LOURDES BASULTO D.A
4410 W 16TH AVE STE 52
HIALEAH, FL 33012-7193
Phone number: 305-825-9899
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Mailing Address
LOURDES BASULTO D.A
4410 W 16TH AVE STE 52
HIALEAH, FL 33012-7193
Phone number: 305-825-9899
Copy
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