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Individual

LAQUANDA RUBIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
425 W COLONIAL DR STE 303, ORLANDO, FL 32804-6863
(352) 901-4009
Mailing address
16455 NELSON PARK DR APT 306B, CLERMONT, FL 34714-5866
(520) 732-6217

Taxonomy

Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
225000000X
Orthotic Fitter
Primary

Other

Enumeration date
05/21/2024
Last updated
06/04/2024
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