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1255670568
RICHARD MERLE CARLSON
LAKELAND, FL
NPI
1255670568
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: FL OT6217)
Enumeration Date
2013-02-06
Last Update Date
2013-02-06
Business Address
-- RICHARD MERLE CARLSON OTR/L
5245 NORTH SOCRUM LOOP ROAD
LAKELAND, FL 33823
Phone number: 863-859-1446
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Mailing Address
-- RICHARD MERLE CARLSON OTR/L
5245 NORTH SOCRUM LOOP ROAD
LAKELAND, FL 33823
Phone number: 863-859-1446
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