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1104189885
KIM THOMAS
LAKELAND, FL
NPI
1104189885
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2012-06-19
Last Update Date
2012-06-19
Business Address
-- KIM THOMAS
715 N LAKE AVE
LAKELAND, FL 33801-1908
Phone number: 863-519-0575
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Mailing Address
-- KIM THOMAS
PO BOX 1559
BARTOW, FL 33831-1559
Phone number:
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