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1730653056
LESLIE QUIRK
LAKELAND, FL
NPI
1730653056
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-01-21
Last Update Date
2019-01-21
Business Address
LESLIE QUIRK
6883 LACY DR
LAKELAND, FL 33813-5660
Phone number: 863-430-1694
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Mailing Address
LESLIE QUIRK
6883 LACY DR
LAKELAND, FL 33813-5660
Phone number: 863-430-1694
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