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1104509736
JORGE MITCHEL LOPEZ
HIALEAH, FL
NPI
1104509736
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: FL 23-285521)
Enumeration Date
2023-08-10
Last Update Date
2023-08-10
Business Address
JORGE MITCHEL LOPEZ
9122 NW 171ST LN
HIALEAH, FL 33018-6645
Phone number: 786-366-7488
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Mailing Address
JORGE MITCHEL LOPEZ
9122 NW 171ST LN
HIALEAH, FL 33018-6645
Phone number: 786-366-7488
Copy
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