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1619444049
LORENZO WARDELL
BARTOW, FL
NPI
1619444049
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2018-10-24
Last Update Date
2018-10-24
Business Address
LORENZO WARDELL
1255 GOLFVIEW AVE
BARTOW, FL 33830-6736
Phone number: 863-519-0575
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Mailing Address
LORENZO WARDELL
PO BOX 1559
BARTOW, FL 33831-1559
Phone number:
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