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1760716781
HENRY JEROME OBRIEN
LAKELAND, FL
NPI
1760716781
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TS0200X Psychologist, School
(Licence: FL ss884)
Enumeration Date
2009-09-23
Last Update Date
2009-09-23
Business Address
Mr. HENRY JEROME OBRIEN ed.s.
7468 HUNTERS GREENE CIR
LAKELAND, FL 33810-5212
Phone number: 863-816-7116
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Mailing Address
Mr. HENRY JEROME OBRIEN ed.s.
7468 HUNTERS GREENE CIR
LAKELAND, FL 33810-5212
Phone number: 863-816-7116
Copy
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