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1972117646
CARLOS A LARA
MIAMI, FL
NPI
1972117646
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: FL MA59353)
Enumeration Date
2020-09-01
Last Update Date
2020-09-01
Business Address
CARLOS A LARA MA59353
10715 SW 224TH ST
MIAMI, FL 33170-6562
Phone number: 786-488-4696
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Mailing Address
CARLOS A LARA MA59353
10715 SW 224TH ST
MIAMI, FL 33170-6562
Phone number: 786-488-4696
Copy
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