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1821749540
AMANDA LUCILLE RANDOLPH
LAKELAND, FL
NPI
1821749540
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL APRN11017054)
Enumeration Date
2022-01-13
Last Update Date
2024-04-22
Business Address
Mrs. AMANDA LUCILLE RANDOLPH APRN
3037 LAKELAND HILLS BLVD STE 7A
LAKELAND, FL 33805-2225
Phone number: 863-860-4500
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Mailing Address
Mrs. AMANDA LUCILLE RANDOLPH APRN
12596 US HIGHWAY 98 N
LAKELAND, FL 33809-1089
Phone number: 863-860-4500
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