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1932173093
MITZI MARIE GANA-TAGLE
LAKELAND, FL
NPI
1932173093
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Other Name
MITZI MARIE GANA-TAGLE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL PT19251)
Enumeration Date
2006-02-15
Last Update Date
2007-07-08
Business Address
MITZI MARIE GANA-TAGLE PT
1430 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Phone number: 863-680-7700
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Mailing Address
MITZI MARIE GANA-TAGLE PT
PO BOX 95004
LAKELAND, FL 33804
Phone number: 863-680-7206
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