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1821390006
THERESA DAUGHTREY
LAKELAND, FL
NPI
1821390006
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2010-11-22
Last Update Date
2010-11-22
Business Address
THERESA DAUGHTREY
728 E BELLA VISTA ST
LAKELAND, FL 33805-3088
Phone number: 863-413-2688
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Mailing Address
THERESA DAUGHTREY
PO BOX 1559
BARTOW, FL 33831-1559
Phone number:
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