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1801154109
MARLENE PRENDERGAST
LAKELAND, FL
NPI
1801154109
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: FL PN5200561)
Enumeration Date
2012-04-25
Last Update Date
2012-04-25
Business Address
-- MARLENE PRENDERGAST
1835 GILMORE AVE
LAKELAND, FL 33805-3017
Phone number: 863-519-0575
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Mailing Address
-- MARLENE PRENDERGAST
PO BOX 1559
BARTOW, FL 33831-1559
Phone number:
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