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1205105756
LISA TERRY WALTON
POMPANO BEACH, FL
NPI
1205105756
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
(Licence: FL 0000000000)
Enumeration Date
2011-12-28
Last Update Date
2011-12-28
Business Address
Mrs. LISA TERRY WALTON
2708 NE 14TH ST SUITE 5
POMPANO BEACH, FL 33062-3565
Phone number: 888-880-9270
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Mailing Address
Mrs. LISA TERRY WALTON
9601 WALTHAM CT
CHARLOTTE, NC 28269-7003
Phone number: 704-890-3299
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