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1114432929
ROSALYN MEDINA-ORTIZ
LAKE CITY, FL
NPI
1114432929
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2017-12-04
Last Update Date
2017-12-04
Business Address
ROSALYN MEDINA-ORTIZ
4158 W US HIGHWAY 90
LAKE CITY, FL 32055-4882
Phone number: 352-284-6057
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Mailing Address
ROSALYN MEDINA-ORTIZ
4158 W US HIGHWAY 90
LAKE CITY, FL 32055-4882
Phone number:
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