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1174121909
AMANDA MILLICAN
LAKELAND, FL
NPI
1174121909
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL APRN11008582)
Enumeration Date
2020-10-14
Last Update Date
2020-10-14
Business Address
AMANDA MILLICAN
605 LAURA RD
LAKELAND, FL 33815-3220
Phone number: 863-581-1457
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Mailing Address
AMANDA MILLICAN
605 LAURA RD
LAKELAND, FL 33815-3220
Phone number: 863-581-1457
Copy
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