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1902545411
SAMUEL JOSEPH LAVI
PHOENIX, AZ
NPI
1902545411
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: AZ BH7633)
Enumeration Date
2022-06-02
Last Update Date
2022-06-02
Business Address
SAMUEL JOSEPH LAVI
4047 W OCOTILLO RD
PHOENIX, AZ 85019-1012
Phone number: 602-875-1153
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Mailing Address
SAMUEL JOSEPH LAVI
4047 W OCOTILLO RD
PHOENIX, AZ 85019-1012
Phone number: 602-875-1153
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