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1013607464
ELIZABETH PORTAL-PEREZ
DAVIE, FL
NPI
1013607464
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-05-09
Last Update Date
2023-05-09
Business Address
ELIZABETH PORTAL-PEREZ
5400 S UNIVERSITY DR STE 502
DAVIE, FL 33328-5313
Phone number: 888-754-0398
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Mailing Address
ELIZABETH PORTAL-PEREZ
6416 NW 5TH WAY
FORT LAUDERDALE, FL 33309-6112
Phone number:
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