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1447609243
TYRUS HAWKINS
BARTOW, FL
NPI
1447609243
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2016-06-13
Last Update Date
2016-06-13
Business Address
-- TYRUS HAWKINS
1239 E MAIN ST
BARTOW, FL 33830-5058
Phone number: 863-519-0575
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Mailing Address
-- TYRUS HAWKINS
PO BOX 1559
BARTOW, FL 33831-1559
Phone number: 863-519-0575
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