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1043032113
IVAN ORTEGA MANSO
GAINESVILLE, FL
NPI
1043032113
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: FL RBT-24-384211)
Enumeration Date
2024-10-29
Last Update Date
2024-10-31
Business Address
IVAN ORTEGA MANSO
3353 NW 25TH TER
GAINESVILLE, FL 32605-2292
Phone number: 352-665-1174
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Mailing Address
IVAN ORTEGA MANSO
3353 NW 25TH TER
GAINESVILLE, FL 32605-2292
Phone number: 352-665-1174
Copy
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