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1295419158
CHRIS ZACK MOMPREMIER
LEHIGH ACRES, FL
NPI
1295419158
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: FL M516-119-00-132-0)
Enumeration Date
2023-06-12
Last Update Date
2023-06-12
Business Address
CHRIS ZACK MOMPREMIER
2303 DANIEL AVE
LEHIGH ACRES, FL 33971-5655
Phone number: 239-745-9812
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Mailing Address
CHRIS ZACK MOMPREMIER
2303 DANIEL AVE
LEHIGH ACRES, FL 33971-5655
Phone number: 239-745-9812
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