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1033182472
CAROL HERENDEEN
LAKELAND, FL
NPI
1033182472
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: FL ND66)
Enumeration Date
2006-02-08
Last Update Date
2012-06-08
Business Address
-- CAROL HERENDEEN RD LD N
1600 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Phone number: 863-680-7000
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Mailing Address
-- CAROL HERENDEEN RD LD N
PO BOX 95004
LAKELAND, FL 33804
Phone number: 863-680-7206
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