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1992256739
JAVIER MOURIZ
LADY LAKE, FL
NPI
1992256739
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: FL PY9520)
Enumeration Date
2016-10-17
Last Update Date
2016-10-17
Business Address
-- JAVIER MOURIZ PhD
804 CO RD 466
LADY LAKE, FL 32159
Phone number: 352-978-1591
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Mailing Address
-- JAVIER MOURIZ PhD
35107 RIVERSIDE CT
LEESBURG, FL 34788-3135
Phone number: 352-978-1591
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