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1801199963
WENDY LISSETTE JACOBO
LAKELAND, FL
NPI
1801199963
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: FL 14319)
Enumeration Date
2010-12-13
Last Update Date
2010-12-13
Business Address
-- WENDY LISSETTE JACOBO MOT
3310 LAKELAND HILLS BLVD
LAKELAND, FL 33805-1974
Phone number: 863-802-6600
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Mailing Address
-- WENDY LISSETTE JACOBO MOT
3615 VICTORIA MANOR DR APT 307
LAKELAND, FL 33805-2976
Phone number:
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