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1407618788
LANCE GERALD AVELLANA NADALA
TAMPA, FL
NPI
1407618788
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL PT35958)
Enumeration Date
2024-01-23
Last Update Date
2024-01-26
Business Address
LANCE GERALD AVELLANA NADALA RPT
11801 N DALE MABRY HWY
TAMPA, FL 33618-3505
Phone number: 813-930-8454
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Mailing Address
LANCE GERALD AVELLANA NADALA RPT
11801 N DALE MABRY HWY
TAMPA, FL 33618-3505
Phone number: 813-930-8454
Copy
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