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1245960129
JANNIS ROQUE CARBALLO
HOMESTEAD, FL
NPI
1245960129
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-06-14
Last Update Date
2022-06-15
Business Address
JANNIS ROQUE CARBALLO
141 NE 24TH TER
HOMESTEAD, FL 33033-6213
Phone number: 786-712-1012
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Mailing Address
JANNIS ROQUE CARBALLO
141 NE 24TH TER
HOMESTEAD, FL 33033-6213
Phone number: 786-712-1012
Copy
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