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1356347561
LYLE E WADSWORTH
DELAND, FL
NPI
1356347561
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207RG0300X Internal Medicine, Geriatric Medicine
(Licence: FL ME30902)
Enumeration Date
2005-06-22
Last Update Date
2008-03-27
Business Address
Dr. LYLE E WADSWORTH MD
890 N BOUNDARY AVE STE 102
DELAND, FL 32720-3173
Phone number: 386-740-0224
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Mailing Address
Dr. LYLE E WADSWORTH MD
890 N BOUNDARY AVE STE 102
DELAND, FL 32720-3173
Phone number: 386-740-0224
Copy
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