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1053461152
LANCE M COHEN
CLEARWATER, FL
NPI
1053461152
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: FL ME57724)
Enumeration Date
2007-01-11
Last Update Date
2015-09-02
Business Address
-- LANCE M COHEN
1330 S FORT HARRISON AVE
CLEARWATER, FL 33756-3313
Phone number: 727-441-3588
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Mailing Address
-- LANCE M COHEN
1330 S FORT HARRISON AVE
CLEARWATER, FL 33756-3313
Phone number: 727-441-3588
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