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1114521275
ROSILY J JACOB
LAKELAND, FL
NPI
1114521275
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: FL PS0031680)
Enumeration Date
2020-11-29
Last Update Date
2020-11-29
Business Address
ROSILY J JACOB
4005 US HIGHWAY 98 N
LAKELAND, FL 33809-3815
Phone number: 863-815-9408
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Mailing Address
ROSILY J JACOB
1109 GLEN PARK LN
VALRICO, FL 33594-5112
Phone number: 813-956-6704
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