LARISSA M COLONBENGOA

MIAMI, FL
NPI1982634135
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: FL  ME87982)
Enumeration Date2006-07-04
Last Update Date2007-07-08
Business Address
-- LARISSA M COLONBENGOA
8888 SW 24TH ST
MIAMI, FL 33165-2008
Phone number: 305-642-5366
Mailing Address
-- LARISSA M COLONBENGOA
8888 SW 24TH ST
MIAMI, FL 33165-2008
Phone number: 305-642-5366
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