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1003146317
MATTHEW LEE DAVIS
LAKELAND, FL
NPI
1003146317
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: FL ANT3373492)
Enumeration Date
2010-01-08
Last Update Date
2012-10-05
Business Address
-- MATTHEW LEE DAVIS CRNA
5701 STRATFORD LANE
LAKELAND, FL 33813
Phone number: 863-514-8640
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Mailing Address
-- MATTHEW LEE DAVIS CRNA
5701 STRATFORD LANE
LAKELAND, FL 33813
Phone number:
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