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1124515747
KENDRICK DANIELS
LAKELAND, FL
NPI
1124515747
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2018-04-19
Last Update Date
2018-04-19
Business Address
KENDRICK DANIELS
715 N LAKE AVE
LAKELAND, FL 33801-1908
Phone number: 863-519-0575
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Mailing Address
KENDRICK DANIELS
PO BOX 1559
BARTOW, FL 33831-1559
Phone number: 863-519-0575
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