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1134764087
MICHELLE LEE FARNSWORTH
NORTH PORT, FL
NPI
1134764087
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Former Name
MICHELLE LEE FARNSWORTH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-11-14
Last Update Date
2019-11-14
Business Address
Mrs. MICHELLE LEE FARNSWORTH
4969 HADER RD
NORTH PORT, FL 34288-8383
Phone number: 941-286-9623
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Mailing Address
Mrs. MICHELLE LEE FARNSWORTH
4969 HADER RD
NORTH PORT, FL 34288-8383
Phone number: 941-286-9623
Copy
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