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1003402835
ANTHONY DIAZ FUENTES
HIALEAH GARDENS, FL
NPI
1003402835
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: FL RBT-20-117960)
Enumeration Date
2020-12-16
Last Update Date
2020-12-16
Business Address
ANTHONY DIAZ FUENTES RBT
8925 NW 117TH ST
HIALEAH GARDENS, FL 33018-4139
Phone number: 786-620-4600
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Mailing Address
ANTHONY DIAZ FUENTES RBT
8925 NW 117TH ST
HIALEAH GARDENS, FL 33018-4139
Phone number: 786-620-4600
Copy
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