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1245918788
JORGE L LAGO SALAZAR
WEST PALM BEACH, FL
NPI
1245918788
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: FL RBT-23-274817)
Enumeration Date
2023-07-06
Last Update Date
2023-07-06
Business Address
JORGE L LAGO SALAZAR
5312 CANNON WAY
WEST PALM BEACH, FL 33415-3753
Phone number: 561-707-9582
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Mailing Address
JORGE L LAGO SALAZAR
5312 CANNON WAY
WEST PALM BEACH, FL 33415-3753
Phone number: 561-707-9582
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