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1104165166
LAVON C THOMAS
DAYTONA BEACH, FL
NPI
1104165166
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2013-02-11
Last Update Date
2013-02-11
Business Address
-- LAVON C THOMAS
841 JIMMY ANN DR
DAYTONA BEACH, FL 32117-4583
Phone number: 386-425-3900
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Mailing Address
-- LAVON C THOMAS
841 JIMMY ANN DR
DAYTONA BEACH, FL 32117-4583
Phone number: 386-425-3900
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