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Individual

MABEL MARIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
233 LIME RD NW, LAKE PLACID, FL 33852-5283
(863) 254-8618
Mailing address
233 LIME RD NW, LAKE PLACID, FL 33852-5283
(863) 254-8618

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
M650-540-75-800-0
FL

Other

Enumeration date
05/06/2020
Last updated
05/06/2020
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