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1184137200
MALIK ANDREW
PORT SAINT LUCIE, FL
NPI
1184137200
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2017-11-11
Last Update Date
2017-11-11
Business Address
MALIK ANDREW
10850 S US HIGHWAY 1 STE 2
PORT SAINT LUCIE, FL 34952-6407
Phone number: 772-463-0444
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Mailing Address
MALIK ANDREW
10850 S US HIGHWAY 1 STE 2
PORT SAINT LUCIE, FL 34952-6407
Phone number:
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