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1316233604
JOHN REPETOSKY
LAKELAND, FL
NPI
1316233604
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2011-06-24
Last Update Date
2011-06-24
Business Address
-- JOHN REPETOSKY
1835 GILMORE AVE
LAKELAND, FL 33805-3017
Phone number: 863-519-0575
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Mailing Address
-- JOHN REPETOSKY
PO BOX 1559
BARTOW, FL 33831-1559
Phone number:
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