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1093439127
JORGE JESUS CANALES LOPEZ
HIALEAH, FL
NPI
1093439127
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: FL 1-24-75927)
Enumeration Date
2022-10-03
Last Update Date
2024-09-30
Business Address
JORGE JESUS CANALES LOPEZ
1095 W 77TH ST APT 109
HIALEAH, FL 33014-3965
Phone number: 786-646-8253
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Mailing Address
JORGE JESUS CANALES LOPEZ
1095 W 77TH ST APT 109
HIALEAH, FL 33014-3965
Phone number: 786-646-8253
Copy
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