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1306948211
LANCE DAVID WIENER
AVENTURA, FL
NPI
1306948211
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: FL SA510)
Enumeration Date
2006-09-01
Last Update Date
2007-07-09
Business Address
Mr. LANCE DAVID WIENER MA CCC SLP
2785 NE 183RD ST
AVENTURA, FL 33160-2171
Phone number: 305-932-8994
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Mailing Address
Mr. LANCE DAVID WIENER MA CCC SLP
20281 E COUNTRY CLUB DR APT 2504
AVENTURA, FL 33180-3010
Phone number: 305-937-4972
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