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1861878118
LAUREN ANNELL GOFORTH
TAMPA, FL
NPI
1861878118
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL PT 30356)
Enumeration Date
2015-08-09
Last Update Date
2015-08-09
Business Address
Mrs. LAUREN ANNELL GOFORTH DPT
2700 W DR MARTIN LUTHER KING JR BLVD SUITE 300
TAMPA, FL 33607-6386
Phone number: 813-805-8108
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Mailing Address
Mrs. LAUREN ANNELL GOFORTH DPT
10110 QUEENS PARK DR
TAMPA, FL 33647-3179
Phone number: 813-293-6224
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