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1093400822
CARLOS GRASS TELLEZ
MIAMI, FL
NPI
1093400822
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: FL RBT-23-263812)
Enumeration Date
2023-04-07
Last Update Date
2023-04-07
Business Address
CARLOS GRASS TELLEZ
4422 NW 23RD AVE
MIAMI, FL 33142-4606
Phone number: 786-798-1100
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Mailing Address
CARLOS GRASS TELLEZ
4422 NW 23RD AVE
MIAMI, FL 33142-4606
Phone number: 786-798-1100
Copy
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