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1184920373
JOSHUA BRANNEN
LAKELAND, FL
NPI
1184920373
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2011-02-04
Last Update Date
2011-02-04
Business Address
-- JOSHUA BRANNEN
715 N LAKE AVE
LAKELAND, FL 33801-1908
Phone number: 863-519-0575
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Mailing Address
-- JOSHUA BRANNEN
PO BOX 1559
BARTOW, FL 33831-1559
Phone number:
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