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Lara
Lara
Bachour
Dental
The Villages, United States
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Florida Health Care Practitioner Data Portal
Full name
Lara Bachour
Job Title
Dental
Location
The Villages, FL, USA
LIC ID
27980
Current License Expiration Date
28/02/2026
Original Date
07/07/2022
Professional Rank Code
DN
Effective Date
07/07/2022
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
SUMTER
Practice Location Address Line 1
Bldg 184 1950 Laurel Manor Dr
Practice Location Address City
THE VILLAGES
Practice Location Address State
FL
Practice Location Address Zipcode
32162
Prescribing Indicator
N
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