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1104661552
CALVIN L LEWIS
BATON ROUGE, LA
NPI
1104661552
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-06-27
Last Update Date
2024-06-27
Business Address
CALVIN L LEWIS
11607 SOUTHFORK AVE BLDG B
BATON ROUGE, LA 70816-5220
Phone number: 877-418-2978
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Mailing Address
CALVIN L LEWIS
350 FAIRWAY DR STE 101
DEERFIELD BEACH, FL 33441-1834
Phone number: 877-418-2978
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