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1104669316
JOSE EMILIO PORRO LUGO
HOLLYWOOD, FL
NPI
1104669316
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: FL BACB1062708)
Enumeration Date
2024-06-15
Last Update Date
2025-01-03
Business Address
JOSE EMILIO PORRO LUGO
551 N 74TH AVE
HOLLYWOOD, FL 33024-7141
Phone number: 786-366-5189
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Mailing Address
JOSE EMILIO PORRO LUGO
11410 NW 19TH CT
PEMBROKE PINES, FL 33026-2062
Phone number: 786-366-5189
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