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1083061683
IVAN MARQUEZ
HOMESTEAD, FL
NPI
1083061683
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2016-05-24
Last Update Date
2020-03-09
Business Address
IVAN MARQUEZ
27881 SW 134TH PL
HOMESTEAD, FL 33032
Phone number: 786-298-3407
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Mailing Address
IVAN MARQUEZ
27881 SW 134TH PL
HOMESTEAD, FL 33032-7750
Phone number: 786-298-3407
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