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1285926121
LANCE MACBLANE
LAKELAND, FL
NPI
1285926121
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2011-05-11
Last Update Date
2011-05-11
Business Address
-- LANCE MACBLANE
1835 GILMORE AVE
LAKELAND, FL 33805-3017
Phone number: 863-519-0575
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Mailing Address
-- LANCE MACBLANE
PO BOX 1559
BARTOW, FL 33831-1559
Phone number:
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