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1821710229
SAM ANGELA JOSE
LAKELAND, FL
NPI
1821710229
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: FL 23436)
Enumeration Date
2022-09-13
Last Update Date
2022-09-14
Business Address
SAM ANGELA JOSE OTR/L
1215 E ORANGE ST
LAKELAND, FL 33801-5762
Phone number: 863-802-3800
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Mailing Address
SAM ANGELA JOSE OTR/L
7350 BEAUMONT DR
LAKELAND, FL 33810
Phone number:
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