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1043058076
HUMBERTO A KIM ENRIQUEZ
LANTANA, FL
NPI
1043058076
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: FL RBT-24-354523)
Enumeration Date
2024-07-15
Last Update Date
2024-07-15
Business Address
HUMBERTO A KIM ENRIQUEZ
1227 PALAMA WAY
LANTANA, FL 33462-4150
Phone number: 561-402-5922
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Mailing Address
HUMBERTO A KIM ENRIQUEZ
1227 PALAMA WAY
LANTANA, FL 33462-4150
Phone number: 561-402-5922
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