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1366165524
LAWRENCE C RIVERS
PHOENIX, AZ
NPI
1366165524
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-09-22
Last Update Date
2022-09-22
Business Address
LAWRENCE C RIVERS
5060 N 19TH AVE # 21
PHOENIX, AZ 85015-3210
Phone number: 480-853-5514
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Mailing Address
LAWRENCE C RIVERS
5060 N 19TH AVE # 21
PHOENIX, AZ 85015-3210
Phone number: 480-853-5514
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