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1265116842
DAVID LAWRENCE MANCO
DELAND, FL
NPI
1265116842
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: FL APRN11026935)
Enumeration Date
2023-06-14
Last Update Date
2023-06-14
Business Address
DAVID LAWRENCE MANCO APRN
105 W CALVIN ST
DELAND, FL 32720-7403
Phone number: 800-539-4228
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Mailing Address
DAVID LAWRENCE MANCO APRN
105 W CALVIN ST
DELAND, FL 32720-7403
Phone number:
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