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1730129842
ALLEN ERMITA SMITH
LAKELAND, FL
NPI
1730129842
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
Enumeration Date
2006-06-07
Last Update Date
2007-07-08
Business Address
Mrs. ALLEN ERMITA SMITH OTR
1335 ARIANA ST
LAKELAND, FL 33803-1879
Phone number: 863-413-0802
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Mailing Address
Mrs. ALLEN ERMITA SMITH OTR
1335 ARIANA ST
LAKELAND, FL 33803-1879
Phone number: 863-413-0802
Copy
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