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1164030904
PAUL MACK
KISSIMMEE, FL
NPI
1164030904
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: FL RBT-20-131232)
Enumeration Date
2020-07-17
Last Update Date
2023-08-26
Business Address
PAUL MACK
1820 ARMSTRONG BLVD
KISSIMMEE, FL 34741-2589
Phone number: 407-966-3070
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Mailing Address
PAUL MACK
303 CARIBBEAN DR UNIT B
DAVENPORT, FL 33897-3932
Phone number: 833-869-2423
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