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1922606813
ASSYRIAN LANE THOMAS
BRADENTON, FL
NPI
1922606813
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2020-10-13
Last Update Date
2020-10-13
Business Address
ASSYRIAN LANE THOMAS
3415 30TH LN E
BRADENTON, FL 34208-7248
Phone number: 941-226-3404
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Mailing Address
ASSYRIAN LANE THOMAS
3415 30TH LN E
BRADENTON, FL 34208-7248
Phone number: 941-226-3404
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