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1245419423
LYZZA ARCHIPOV
FORT MYERS, FL
NPI
1245419423
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-10-24
Last Update Date
2016-05-16
Business Address
Mrs. LYZZA ARCHIPOV
3487 BROADWAY AVENUE
FORT MYERS, FL 33901-7213
Phone number: 239-334-9555
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Mailing Address
Mrs. LYZZA ARCHIPOV
3487 BROADWAY AVENUE
FORT MYERS, FL 33901-7213
Phone number: 239-334-9555
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