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1114435930
IDOLEISY HERNANDEZ
MIAMI, FL
NPI
1114435930
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
Additional Taxonomies
103K00000X Behavior Analyst
Enumeration Date
2018-01-15
Last Update Date
2022-06-20
Business Address
IDOLEISY HERNANDEZ
3024 SW 64TH AVE
MIAMI, FL 33155-3926
Phone number: 305-205-7142
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Mailing Address
IDOLEISY HERNANDEZ
3024 SW 64TH AVE
MIAMI, FL 33155-3926
Phone number: 305-205-7142
Copy
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