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1336398882
MARK ALLEN LISTER
GAINESVILLE, FL
NPI
1336398882
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TM1800X Psychologist, Intellectual & Developmental Disabilities
Enumeration Date
2008-09-09
Last Update Date
2008-09-09
Business Address
Mr. MARK ALLEN LISTER BCABA
10929 NW 35TH PL
GAINESVILLE, FL 32606-4972
Phone number: 352-332-2496
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Mailing Address
Mr. MARK ALLEN LISTER BCABA
10929 NW 35TH PL
GAINESVILLE, FL 32606-4972
Phone number: 352-332-2496
Copy
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