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1982292462
LAURA XILENA IDARRAGA
LUTZ, FL
NPI
1982292462
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: FL I362539998480)
Enumeration Date
2021-01-09
Last Update Date
2021-01-09
Business Address
LAURA XILENA IDARRAGA
207 DENNISON RD
LUTZ, FL 33548-4576
Phone number: 813-510-7415
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Mailing Address
LAURA XILENA IDARRAGA
207 DENNISON RD
LUTZ, FL 33548-4576
Phone number: 813-510-7415
Copy
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