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1104578681
MICHAEL LAWRENCE POLIZZI
FAIRPORT, NY
NPI
1104578681
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: NY 287389830)
Enumeration Date
2022-01-25
Last Update Date
2022-01-25
Business Address
MICHAEL LAWRENCE POLIZZI
6 N MAIN ST STE 110
FAIRPORT, NY 14450-1581
Phone number: 585-377-6590
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Mailing Address
MICHAEL LAWRENCE POLIZZI
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number: 818-345-2345
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