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1609352459
NICHOLAS ALLRED
LAKELAND, FL
NPI
1609352459
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2018-07-16
Last Update Date
2018-07-16
Business Address
NICHOLAS ALLRED
621 N LAKE PARKER AVE
LAKELAND, FL 33801-2040
Phone number: 863-519-0575
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Mailing Address
NICHOLAS ALLRED
PO BOX 1559
BARTOW, FL 33831-1559
Phone number: 863-519-0575
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