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1740816040
JOHNATHAN MALDONADO ESPADA
LAKELAND, FL
NPI
1740816040
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-03-18
Last Update Date
2020-03-18
Business Address
JOHNATHAN MALDONADO ESPADA
621 N LAKE PARKER AVE
LAKELAND, FL 33801-2040
Phone number: 863-519-0575
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Mailing Address
JOHNATHAN MALDONADO ESPADA
PO BOX 1559
BARTOW, FL 33831-1559
Phone number: 863-519-0575
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