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1235465667
RICHARD L MAYNARD
LAKELAND, FL
NPI
1235465667
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: FL OT11715)
Enumeration Date
2009-10-20
Last Update Date
2009-10-20
Business Address
Mr. RICHARD L MAYNARD OTR/L
716 E BELLA VISTA ST
LAKELAND, FL 33805-3009
Phone number: 863-683-6504
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Mailing Address
Mr. RICHARD L MAYNARD OTR/L
1107 CORINTH GREENS DR
SUN CITY CENTER, FL 33573-8066
Phone number: 813-634-8127
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