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1164187977
ANGELA MICHELLE KING
LAKELAND, FL
NPI
1164187977
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL APRN11011972)
Enumeration Date
2021-11-05
Last Update Date
2022-09-21
Business Address
ANGELA MICHELLE KING APRN
5615 S FLORIDA AVE
LAKELAND, FL 33813-2710
Phone number: 863-327-0132
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Mailing Address
ANGELA MICHELLE KING APRN
PO BOX 491500
LEESBURG, FL 34749-1500
Phone number: 321-204-5222
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