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1548676380
INDYA CARROLL DOLLISON
LAKELAND, FL
NPI
1548676380
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: FL 9312263)
Enumeration Date
2014-07-01
Last Update Date
2016-12-19
Business Address
Mrs. INDYA CARROLL DOLLISON
601 S FLORIDA AVE
LAKELAND, FL 33801-5237
Phone number: 863-688-0841
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Mailing Address
Mrs. INDYA CARROLL DOLLISON
47 5TH ST NW
WINTER HAVEN, FL 33881-4672
Phone number: 863-291-5110
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