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1053935015
PHILLIP SHANE CLEMONS
FORT MYERS, FL
NPI
1053935015
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
Enumeration Date
2020-06-04
Last Update Date
2020-06-04
Business Address
PHILLIP SHANE CLEMONS
6430 PLANTATION PARK CT STE 200
FORT MYERS, FL 33966-4816
Phone number: 239-223-2751
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Mailing Address
PHILLIP SHANE CLEMONS
1341 LAVIN LN
NORTH FORT MYERS, FL 33917-5307
Phone number:
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