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1245901719
ODALVIS FERNANDEZ
MIAMI, FL
NPI
1245901719
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: FL RBT-21-158139)
Enumeration Date
2021-09-24
Last Update Date
2021-09-24
Business Address
ODALVIS FERNANDEZ
13350 SW 79TH ST
MIAMI, FL 33183-4102
Phone number: 786-371-5136
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Mailing Address
ODALVIS FERNANDEZ
13350 SW 79TH ST
MIAMI, FL 33183-4102
Phone number: 786-371-5136
Copy
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