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1962204214
JOHN D IWANIEC
LAKELAND, FL
NPI
1962204214
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2025-03-26
Last Update Date
2025-03-26
Business Address
JOHN D IWANIEC DO
1324 LAKELAND HILLS BLVD
LAKELAND, FL 33805-4543
Phone number: 863-687-1100
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Mailing Address
JOHN D IWANIEC DO
1324 LAKELAND HILLS BLVD
LAKELAND, FL 33805-4543
Phone number: 863-687-1100
Copy
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