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1235630682
DEANNA LAINE
PORT SAINT LUCIE, FL
NPI
1235630682
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-02-21
Last Update Date
2018-02-21
Business Address
DEANNA LAINE
2074 SE DOVERBROOK ST
PORT SAINT LUCIE, FL 34983-4698
Phone number: 772-905-8836
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Mailing Address
DEANNA LAINE
1238 SW BABCOCK AVE
PORT SAINT LUCIE, FL 34953-2851
Phone number:
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