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1063269322
ANTHONY WADE
LAKELAND, FL
NPI
1063269322
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-05-03
Last Update Date
2024-05-03
Business Address
ANTHONY WADE
454 W PIPKIN RD
LAKELAND, FL 33813-2545
Phone number: 863-619-2809
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Mailing Address
ANTHONY WADE
15406 GRAND HAVEN DR
CLERMONT, FL 34714-6172
Phone number: 352-630-2965
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