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1609367341
JERMAINE DAVIS
LAKELAND, FL
NPI
1609367341
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2018-05-29
Last Update Date
2018-05-29
Business Address
JERMAINE DAVIS
715 N LAKE AVE
LAKELAND, FL 33801-1908
Phone number: 863-519-0575
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Mailing Address
JERMAINE DAVIS
PO BOX 1559
BARTOW, FL 33831-1559
Phone number: 863-519-0575
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