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1003656455
IVELISSI JIMENEZ-CRUZ
TAMPA, FL
NPI
1003656455
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: FL RBT-24-329505)
Enumeration Date
2024-05-31
Last Update Date
2024-05-31
Business Address
IVELISSI JIMENEZ-CRUZ RBT-24-329505
3104 W WATERS AVE STE 204
TAMPA, FL 33614-2877
Phone number: 813-265-4439
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Mailing Address
IVELISSI JIMENEZ-CRUZ RBT-24-329505
10839 SAKONNET RIVER DR APT 203
TAMPA, FL 33615-2899
Phone number: 813-415-7581
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