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1003692658
SHIRLEY BENITEZ LAZA
HIALEAH, FL
NPI
1003692658
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: FL BACB916617)
Enumeration Date
2023-09-07
Last Update Date
2023-09-07
Business Address
SHIRLEY BENITEZ LAZA BACB916617
8001 W 26TH AVE
HIALEAH, FL 33016-2912
Phone number: 786-444-5578
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Mailing Address
SHIRLEY BENITEZ LAZA BACB916617
27484 SW 133RD PATH
HOMESTEAD, FL 33032-8286
Phone number: 786-339-3003
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