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1366749210
PORTIA DONNELLAN
LAKELAND, FL
NPI
1366749210
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2011-02-11
Last Update Date
2011-02-11
Business Address
-- PORTIA DONNELLAN
715 N LAKE AVE
LAKELAND, FL 33801-1908
Phone number: 863-519-0575
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Mailing Address
-- PORTIA DONNELLAN
PO BOX 1559
BARTOW, FL 33831-1559
Phone number:
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