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1710328893
ALAN RYAN MATHIS
LAKELAND, FL
NPI
1710328893
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: FL PS50590)
Enumeration Date
2013-07-17
Last Update Date
2013-07-17
Business Address
DR. ALAN RYAN MATHIS
5375 N SOCRUM LOOP RD
LAKELAND, FL 33809-4272
Phone number: 863-859-6353
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Mailing Address
DR. ALAN RYAN MATHIS
1530 VILLAGE CENTER DR UNIT #301
LAKELAND, FL 33803-2853
Phone number: 863-397-5696
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