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1154907020
SUSELL FERNANDEZ
MIAMI, FL
NPI
1154907020
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-03-22
Last Update Date
2021-03-22
Business Address
SUSELL FERNANDEZ
21244 SW 123RD PL
MIAMI, FL 33177-5813
Phone number: 305-281-0858
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Mailing Address
SUSELL FERNANDEZ
21244 SW 123RD PL
MIAMI, FL 33177-5813
Phone number: 305-281-0858
Copy
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