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1104433051
TIMOTHY DAVID RODRIGUEZ
YULEE, FL
NPI
1104433051
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: FL 20-136762)
Enumeration Date
2020-09-24
Last Update Date
2020-09-24
Business Address
TIMOTHY DAVID RODRIGUEZ RBT
87009 PROFESSIONAL WAY
YULEE, FL 32097-3400
Phone number: 904-849-7179
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Mailing Address
TIMOTHY DAVID RODRIGUEZ RBT
86156 OAK TREE LN
YULEE, FL 32097-5584
Phone number: 904-826-6911
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