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1104348119
IDA N LEON
HIALEAH, FL
NPI
1104348119
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2017-07-11
Last Update Date
2017-11-08
Business Address
IDA N LEON
1665 W 68TH ST STE 201
HIALEAH, FL 33014-4400
Phone number: 786-773-3393
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Mailing Address
IDA N LEON
4955 NW 199TH ST
MIAMI GARDENS, FL 33055-1778
Phone number: 305-297-9816
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