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Individual

ROSEMARY WALLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1835 N GILMORE AVENUE, LAKELAND, FL 33805
(863) 248-3300
(863) 413-2719
Mailing address
PO BOX 1559, PEACE RIVER CENTER, BARTOW, FL 33831-1559
(863) 519-0575
(863) 519-0728

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
08/24/2006
Last updated
07/08/2007
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