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1619680295
JOSE LUIS LIZARDI
LAKELAND, FL
NPI
1619680295
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-12-28
Last Update Date
2022-12-28
Business Address
Mr. JOSE LUIS LIZARDI
454 W PIPKIN RD
LAKELAND, FL 33813-2545
Phone number: 863-619-2809
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Mailing Address
Mr. JOSE LUIS LIZARDI
404 N ALBANY AVE APT 1
TAMPA, FL 33606-1261
Phone number: 315-244-0615
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