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1245486869
KING FERNAND
LAKELAND, FL
NPI
1245486869
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: FL ma47453)
Enumeration Date
2008-08-14
Last Update Date
2008-08-14
Business Address
-- KING FERNAND lmt
2240 US HIGHWAY 92 E
LAKELAND, FL 33801-2448
Phone number: 863-286-1962
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Mailing Address
-- KING FERNAND lmt
PO BOX 496
LAKELAND, FL 33802-0496
Phone number: 863-286-1962
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