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1104380179
SHAQWAN GEORGE
FORT MYERS, FL
NPI
1104380179
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-01-24
Last Update Date
2019-01-24
Business Address
SHAQWAN GEORGE
5245 RAMSEY WAY STE 5
FORT MYERS, FL 33907-2124
Phone number: 239-691-6482
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Mailing Address
SHAQWAN GEORGE
8073 MARSH CIR
LABELLE, FL 33935-5468
Phone number: 863-517-5186
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