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1558143586
LYSMAR KARINA CANCHO
LAKELAND, FL
NPI
1558143586
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-10-16
Last Update Date
2023-10-16
Business Address
Ms. LYSMAR KARINA CANCHO
1510 COMMERCIAL PARK DR
LAKELAND, FL 33801-6569
Phone number: 863-345-8090
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Mailing Address
Ms. LYSMAR KARINA CANCHO
1510 COMMERCIAL PARK DR
LAKELAND, FL 33801-6569
Phone number: 863-345-8090
Copy
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