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Maurice Donaldson

Community Health Worker in Lakeland, FL. Individual provider (NPI-1).

NPI number1750683074
StatusActive
Last updated in NPPESNov 18, 2010

Details

NPI
1750683074
Entity type
Individual (NPI-1)
Name
Maurice Donaldson
Sex
Male
Sole proprietor
No
Enumeration date
Nov 18, 2010
Last updated
Nov 18, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes

Practice location

217 N Wabash Ave
Lakeland, FL 33815-7370

Phone 863-413-3267

Mailing address

Po Box 1559
Bartow, FL 33831-1559

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