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1841936713
LUCAS SIMMONS
TAMPA, FL
NPI
1841936713
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-05-12
Last Update Date
2022-08-09
Business Address
LUCAS SIMMONS
3611 DATA DR APT 102
TAMPA, FL 33613-6160
Phone number: 352-272-3075
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Mailing Address
LUCAS SIMMONS
36439 PINEY RIDGE BLVD
FRUITLAND PARK, FL 34731-5383
Phone number: 352-272-3075
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