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1154031391
LARRY LEWIS
DAYTONA BEACH, FL
NPI
1154031391
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2022-11-29
Last Update Date
2022-11-29
Business Address
LARRY LEWIS
1673 MASON AVE STE 100
DAYTONA BEACH, FL 32117-5516
Phone number: 386-873-0365
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Mailing Address
LARRY LEWIS
1673 MASON AVE STE 100
DAYTONA BEACH, FL 32117-5516
Phone number: 386-873-0365
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