PHALLY LANG

JACKSONVILLE, FL
NPI1831640929
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy261QA0600X Clinic/Center, Adult Day Care
Enumeration Date2016-10-24
Last Update Date2016-10-24
Business Address
-- PHALLY LANG
542 EDGEWOOD AVE S
JACKSONVILLE, FL 32205-5333
Phone number: 978-495-1461
Mailing Address
-- PHALLY LANG
542 EDGEWOOD AVE S
JACKSONVILLE, FL 32205-5333
Phone number: 978-495-1461
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