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1245514447
SALLY LOU WHITWORTH
LAKELAND, FL
NPI
1245514447
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant Medical
(Licence: FL PA9106097)
Enumeration Date
2011-10-06
Last Update Date
2011-10-06
Business Address
MS. SALLY LOU WHITWORTH PA-C
135 E. FIRST STREET
LAKELAND, FL 33805-4609
Phone number: 863-686-2728
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Mailing Address
MS. SALLY LOU WHITWORTH PA-C
P.O. BOX 91988
LAKELAND, FL 33804-1988
Phone number: 863-686-2728
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