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1154988210
DOREEN OPAL LUE
LAKELAND, FL
NPI
1154988210
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: FL 11001303)
Enumeration Date
2019-05-23
Last Update Date
2019-05-23
Business Address
DOREEN OPAL LUE
6855 ASHBURY DR
LAKELAND, FL 33809-7818
Phone number: 863-858-6347
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Mailing Address
DOREEN OPAL LUE
6855 ASHBURY DR
LAKELAND, FL 33809-7818
Phone number: 863-858-6347
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