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1629831771
NICOLE AGNES ROSA
LAKELAND, FL
NPI
1629831771
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: FL 6414)
Enumeration Date
2024-02-01
Last Update Date
2024-02-01
Business Address
NICOLE AGNES ROSA OD
3615 S FLORIDA AVE STE 460
LAKELAND, FL 33803-4871
Phone number: 863-940-2091
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Mailing Address
NICOLE AGNES ROSA OD
4907 STONECREST DR
LAKELAND, FL 33813-2479
Phone number: 813-486-3376
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