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1518264464
WILLIAM GUADALUPE
LAKELAND, FL
NPI
1518264464
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2011-02-11
Last Update Date
2014-01-28
Business Address
-- WILLIAM GUADALUPE
600 EL PASEO
LAKELAND, FL 33805-4521
Phone number: 863-519-0575
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Mailing Address
-- WILLIAM GUADALUPE
PO BOX 1559
BARTOW, FL 33831-1559
Phone number:
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