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1932107158
TAMARA THRELKELD PISTORIA
LAKELAND, FL
NPI
1932107158
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: FL OS0008614)
Enumeration Date
2005-07-12
Last Update Date
2012-06-26
Business Address
-- TAMARA THRELKELD PISTORIA DO
1033 N PARKWAY FRONTAGE RD
LAKELAND, FL 33803-0401
Phone number: 863-647-8011
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Mailing Address
-- TAMARA THRELKELD PISTORIA DO
PO BOX 95004
LAKELAND, FL 33804-5004
Phone number: 863-680-7000
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