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1760356299
LAVITA DOUGLAS
PORTAGE, IN
NPI
1760356299
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2025-09-29
Last Update Date
2025-09-29
Business Address
LAVITA DOUGLAS
3125 WILLOWCREEK RD
PORTAGE, IN 46368-4423
Phone number: 574-387-4313
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Mailing Address
LAVITA DOUGLAS
215 RED COACH DR
MISHAWAKA, IN 46545-8307
Phone number: 574-387-4313
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