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1245014026
MARIO DANIEL LOPEZ
DAVIE, FL
NPI
1245014026
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-08-22
Last Update Date
2023-08-22
Business Address
MARIO DANIEL LOPEZ
8001 SW 36TH ST STE 9
DAVIE, FL 33328-1915
Phone number: 954-577-7790
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Mailing Address
MARIO DANIEL LOPEZ
8001 SW 36TH ST STE 9
DAVIE, FL 33328-1915
Phone number: 954-577-7790
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