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1992075808
LACY RENEE BENTON
POMPANO BEACH, FL
NPI
1992075808
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2012-01-09
Last Update Date
2012-01-09
Business Address
-- LACY RENEE BENTON
2708 NE 14TH ST SUITE 5
POMPANO BEACH, FL 33062-3565
Phone number: 888-880-9270
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Mailing Address
-- LACY RENEE BENTON
1001 HULL AVE
SEFFNER, FL 33584-5185
Phone number: 813-389-3270
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