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1508301011
NICHOLAS WOLHAUPTER
LAKELAND, FL
NPI
1508301011
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207N00000X Dermatology
(Licence: FL PA9110064)
Enumeration Date
2016-12-20
Last Update Date
2016-12-20
Business Address
NICHOLAS WOLHAUPTER
6500 N SOCRUM LOOP RD SUITE 100
LAKELAND, FL 33809-4179
Phone number: 863-853-3331
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Mailing Address
NICHOLAS WOLHAUPTER
6500 N SOCRUM LOOP RD SUITE 100
LAKELAND, FL 33809-4179
Phone number: 863-853-3331
Copy
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