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1013420470
LISSETTE M SORIA VIDAL
HOLLYWOOD, FL
NPI
1013420470
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2017-11-08
Last Update Date
2017-11-08
Business Address
LISSETTE M SORIA VIDAL
1632 MCKINLEY ST
HOLLYWOOD, FL 33020-3238
Phone number: 585-750-0568
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Mailing Address
LISSETTE M SORIA VIDAL
1632 MCKINLEY ST
HOLLYWOOD, FL 33020-3238
Phone number:
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