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1184475519
LUCAS FORMICA
MONROVIA, CA
NPI
1184475519
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-04-01
Last Update Date
2024-04-01
Business Address
LUCAS FORMICA
1333 S MAYFLOWER AVE STE 220
MONROVIA, CA 91016-5239
Phone number: 855-295-3276
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Mailing Address
LUCAS FORMICA
1333 S MAYFLOWER AVE STE 220
MONROVIA, CA 91016-5239
Phone number: 818-241-6780
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