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1679119424
DEWAYNE LAVONTE ROGERS
LUNENBURG, MA
NPI
1679119424
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: MA S55356645)
Enumeration Date
2019-11-26
Last Update Date
2019-11-26
Business Address
Mr. DEWAYNE LAVONTE ROGERS
132 ROBBS HILL RD
LUNENBURG, MA 01462-2167
Phone number: 774-270-1766
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Mailing Address
Mr. DEWAYNE LAVONTE ROGERS
9 COMMON ST APT 1L
QUINCY, MA 02169-1663
Phone number: 857-251-8996
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