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1588380695
OCTAVIA LEWIS
FORT LAUDERDALE, FL
NPI
1588380695
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-10-19
Last Update Date
2022-10-19
Business Address
OCTAVIA LEWIS
411 NW 1ST AVE APT 205
FORT LAUDERDALE, FL 33301-3382
Phone number: 754-703-8199
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Mailing Address
OCTAVIA LEWIS
411 NW 1ST AVE APT 205
FORT LAUDERDALE, FL 33301-3382
Phone number:
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