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1962917591
LAZARA VICENTA HERNANDEZ
MIAMI, FL
NPI
1962917591
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2017-12-05
Last Update Date
2017-12-05
Business Address
LAZARA VICENTA HERNANDEZ
9356 SW 40TH ST
MIAMI, FL 33165-4160
Phone number: 786-426-5056
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Mailing Address
LAZARA VICENTA HERNANDEZ
11250 SW 179TH ST
MIAMI, FL 33157-4946
Phone number:
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