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1114660941
ROQUE FERNANDEZ
KISSIMMEE, FL
NPI
1114660941
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-04-19
Last Update Date
2022-04-19
Business Address
ROQUE FERNANDEZ
3501 W VINE ST STE 124
KISSIMMEE, FL 34741-4660
Phone number: 407-483-3074
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Mailing Address
ROQUE FERNANDEZ
1821 PLANTATION OAK DR
ORLANDO, FL 32824-4867
Phone number: 321-947-6638
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