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1205388311
LANE JORDAN
LAKELAND, FL
NPI
1205388311
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL PT31421)
Enumeration Date
2016-10-25
Last Update Date
2016-10-25
Business Address
-- LANE JORDAN DPT
1215 E ORANGE ST
LAKELAND, FL 33801-5762
Phone number: 863-802-3800
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Mailing Address
-- LANE JORDAN DPT
1215 E ORANGE ST
LAKELAND, FL 33801-5762
Phone number: 863-802-3800
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