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1114792389
KIAYUAN R BASKERVILLE
CLEARWATER, FL
NPI
1114792389
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-11-17
Last Update Date
2023-11-21
Business Address
KIAYUAN R BASKERVILLE
29228 US HIGHWAY 19 N
CLEARWATER, FL 33761-2101
Phone number: 407-955-4001
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Mailing Address
KIAYUAN R BASKERVILLE
300 INTERNATIONAL PKWY STE 200
LAKE MARY, FL 32746-5028
Phone number: 866-610-0580
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