{
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"FirstLineMailingAddress": "PO BOX 3657",
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"MailingAddressCityName": "LAKE WALES",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33859-3657",
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"FirstLinePracticeLocationAddress": "116 BROOKSHIRE DR",
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"EnumerationDate": "03/29/2016",
"LastUpdateDate": "03/29/2016",
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"AuthorizedOfficialLastName": "FITZGERALD",
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}
},
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}
}
}
}