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1710165469
SERGIO H. VALLEJO M. D. , P. A.
LAKELAND, FL
NPI
1710165469
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Entity Type
Organization
Authorized Contact
DIANE JORDAN
Secretary
863-688-0512
Organization Subpart ?
No
Primary Taxonomy
173000000X Legal Medicine
(Licence: FL ME23925)
Enumeration Date
2008-02-05
Last Update Date
2010-08-16
Business Address
SERGIO H. VALLEJO M. D. , P. A.
1543 LAKELAND HILLS BLVD
LAKELAND, FL 33805-3246
Phone number: 863-688-0512
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Mailing Address
SERGIO H. VALLEJO M. D. , P. A.
1543 LAKELAND HILLS BLVD
LAKELAND, FL 33805-3246
Phone number: 863-688-0512
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