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1114706041
JOSE CARLOS LA O PUENTES
CAPE CORAL, FL
NPI
1114706041
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-09-28
Last Update Date
2023-09-28
Business Address
JOSE CARLOS LA O PUENTES
1710 SE 21ST ST
CAPE CORAL, FL 33990-4122
Phone number: 239-745-9324
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Mailing Address
JOSE CARLOS LA O PUENTES
1710 SE 21ST ST
CAPE CORAL, FL 33990-4122
Phone number: 239-745-9324
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