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1982140158
KEVIN FARRIS
LAKE MARY, FL
NPI
1982140158
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2017-01-12
Last Update Date
2017-01-12
Business Address
-- KEVIN FARRIS
175 MIDDLE ST UNIT 1201
LAKE MARY, FL 32746-3625
Phone number: 866-610-0580
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Mailing Address
-- KEVIN FARRIS
480 REED CANAL RD APT 4
SOUTH DAYTONA, FL 32119-8026
Phone number: 770-549-6929
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