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1992495105
KAMMNA B FARAG
LAKELAND, FL
NPI
1992495105
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
156FX1800X Technician/Technologist, Optician
(Licence: FL DO6208)
Enumeration Date
2023-05-10
Last Update Date
2023-05-10
Business Address
KAMMNA B FARAG
5800 US HIGHWAY 98 N
LAKELAND, FL 33809-3110
Phone number: 863-815-4408
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Mailing Address
KAMMNA B FARAG
5800 US HIGHWAY 98 N
LAKELAND, FL 33809-3110
Phone number: 863-815-4408
Copy
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