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1659839934
THELMA LISSETTE PENA LOZANO
LEHIGH ACRES, FL
NPI
1659839934
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QD1600X Clinic/Center, Developmental Disabilities
Enumeration Date
2019-03-06
Last Update Date
2019-03-06
Business Address
THELMA LISSETTE PENA LOZANO
3412 19TH ST SW
LEHIGH ACRES, FL 33976-3509
Phone number: 239-324-2200
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Mailing Address
THELMA LISSETTE PENA LOZANO
3412 19TH ST SW
LEHIGH ACRES, FL 33976-3509
Phone number: 239-324-2200
Copy
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