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1548759707
LOGAN WAYNE GARNER
LAKELAND, FL
NPI
1548759707
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-05-03
Last Update Date
2018-05-03
Business Address
Mr. LOGAN WAYNE GARNER
145 E EDGEWOOD DR
LAKELAND, FL 33803-4014
Phone number: 618-263-2108
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Mailing Address
Mr. LOGAN WAYNE GARNER
900 OLD COMBEE RD LOT 225
LAKELAND, FL 33805-9508
Phone number: 618-263-2108
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