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1235917865
JUAN CARLOS DIAZ MASSIP
FORT MYERS, FL
NPI
1235917865
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-09-15
Last Update Date
2023-09-15
Business Address
JUAN CARLOS DIAZ MASSIP
1591 HAYLEY LN STE 101
FORT MYERS, FL 33907-2121
Phone number: 239-288-6046
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Mailing Address
JUAN CARLOS DIAZ MASSIP
1023 NW 19TH TER
CAPE CORAL, FL 33993-3913
Phone number: 239-645-1116
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