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Individual
DWAYNE LIZAR
Active
Individual
DWAYNE LIZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
AU 648
CA
235Z00000X
Speech-Language Pathologist
Primary
SP 4188
CA
Other
Enumeration date
05/27/2009
Last updated
05/27/2009
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