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1770960502
LARRY LIGHTFOOT
POTTSVILLE, PA
NPI
1770960502
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: PA BH000103)
Enumeration Date
2015-04-30
Last Update Date
2015-04-30
Business Address
-- LARRY LIGHTFOOT
221 MAHANTONGO STREET
POTTSVILLE, PA 17901
Phone number: 570-622-6417
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Mailing Address
-- LARRY LIGHTFOOT
221 MAHANTONGO ST
POTTSVILLE, PA 17901-3010
Phone number:
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