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1265020481
AGNES HELENA SMITH
LAKELAND, FL
NPI
1265020481
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-01-04
Last Update Date
2021-01-04
Business Address
AGNES HELENA SMITH
600 LAKE HOLLINGSWORTH DR
LAKELAND, FL 33803-2364
Phone number: 863-665-7300
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Mailing Address
AGNES HELENA SMITH
PO BOX 93374
LAKELAND, FL 33804-3374
Phone number:
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