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1851765580
HEADS
LAKELAND, FL
NPI
1851765580
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Entity Type
Organization
Authorized Contact
TED WALLACE
CEO
813-754-5555
Organization Subpart ?
No
Primary Taxonomy
251S00000X
(Licence: FL IMH13714)
Enumeration Date
2015-11-18
Last Update Date
2015-11-18
Business Address
HEADS
3244 MERLOT DR
LAKELAND, FL 33811-1810
Phone number: 863-614-7771
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Mailing Address
HEADS
3244 MERLOT DR
LAKELAND, FL 33811-1810
Phone number: 863-614-7771
Copy
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