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1346460862
DAVID LAWERENCE MODDERS
THE VILLAGES, FL
NPI
1346460862
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: FL PY6041)
Enumeration Date
2007-04-26
Last Update Date
2020-07-24
Business Address
DAVID LAWERENCE MODDERS PhD
1050 OLD CAMP RD STE 100
THE VILLAGES, FL 32162-1762
Phone number: 352-674-1760
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Mailing Address
DAVID LAWERENCE MODDERS PhD
5051 SE 110TH ST
BELLEVIEW, FL 34420-3115
Phone number: 352-245-9157
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