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1053082057
ENNY DOMINGUEZ
HOMESTEAD, FL
NPI
1053082057
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: FL RBT-18-50473)
Enumeration Date
2021-09-21
Last Update Date
2021-10-18
Business Address
ENNY DOMINGUEZ
27111 SW 119TH CT
HOMESTEAD, FL 33032-3333
Phone number: 786-273-8096
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Mailing Address
ENNY DOMINGUEZ
27111 SW 119TH CT
HOMESTEAD, FL 33032-3333
Phone number:
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