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1962644021
MIRTHA AMELIA CAMACHO
TAMARAC, FL
NPI
1962644021
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
156FX1800X Technician/Technologist, Optician
(Licence: FL DO2462)
Enumeration Date
2009-04-03
Last Update Date
2009-04-03
Business Address
Mrs. MIRTHA AMELIA CAMACHO
6227 N UNIVERSITY DR
TAMARAC, FL 33321-4022
Phone number: 954-529-1075
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Mailing Address
Mrs. MIRTHA AMELIA CAMACHO
6227 N UNIVERSITY DR
TAMARAC, FL 33321-4022
Phone number: 954-529-1075
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