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1063918639
LUIS ALBERTO ROQUE
HOMESTEAD, FL
NPI
1063918639
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-04-03
Last Update Date
2018-04-03
Business Address
Mr. LUIS ALBERTO ROQUE
1790 SW 3RD ST
HOMESTEAD, FL 33030-6603
Phone number: 786-759-3274
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Mailing Address
Mr. LUIS ALBERTO ROQUE
1790 SW 3RD ST
HOMESTEAD, FL 33030-6603
Phone number: 786-759-3274
Copy
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