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1104249572
LAWRENCE MCCALLA
COCOA, FL
NPI
1104249572
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2014-01-21
Last Update Date
2014-01-21
Business Address
-- LAWRENCE MCCALLA
1407 DIXON BLVD
COCOA, FL 32922-6411
Phone number: 321-452-0800
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Mailing Address
-- LAWRENCE MCCALLA
1407 DIXON BLVD
COCOA, FL 32922-6411
Phone number: 321-452-0800
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