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1134878515
TIMOTHY HERBERT MODZELEWSKI
OCALA, FL
NPI
1134878515
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-03-22
Last Update Date
2022-03-22
Business Address
TIMOTHY HERBERT MODZELEWSKI
1431 SW 1ST AVE
OCALA, FL 34471-6500
Phone number: 352-401-8243
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Mailing Address
TIMOTHY HERBERT MODZELEWSKI
270 FRANCA ST
PUNTA GORDA, FL 33983-5442
Phone number: 941-780-0177
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