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1508413105
KEENAN OSMAN
LAKELAND, FL
NPI
1508413105
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: FL DN24476)
Enumeration Date
2019-08-20
Last Update Date
2019-12-18
Business Address
KEENAN OSMAN DMD
4744 S FLORIDA AVE
LAKELAND, FL 33813-2181
Phone number: 352-200-9665
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Mailing Address
KEENAN OSMAN DMD
4744 S FLORIDA AVE
LAKELAND, FL 33813-2181
Phone number: 863-644-1226
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