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1710221957
LASWANDA PORTER
POMPANO BEACH, FL
NPI
1710221957
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2012-11-10
Last Update Date
2012-11-10
Business Address
-- LASWANDA PORTER
2708 NE 14TH ST APT 5
POMPANO BEACH, FL 33062-3564
Phone number: 888-880-9270
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Mailing Address
-- LASWANDA PORTER
6061 TINA LN
REX, GA 30273-1128
Phone number:
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