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1568927481
PATRICK DENNIS LAVALLIE
AVON PARK, FL
NPI
1568927481
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: FL SA1438)
Enumeration Date
2019-02-05
Last Update Date
2019-02-05
Business Address
Mr. PATRICK DENNIS LAVALLIE
1010 US 27 N
AVON PARK, FL 33825-2556
Phone number: 863-453-5200
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Mailing Address
Mr. PATRICK DENNIS LAVALLIE
208 TRAFALGAR WAY
LAKE PLACID, FL 33852-7906
Phone number: 954-675-8842
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