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1255993895
MELVYS PORTILLO HERNANDEZ
HOLLYWOOD, FL
NPI
1255993895
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-07-03
Last Update Date
2019-07-03
Business Address
MELVYS PORTILLO HERNANDEZ
6470 SHERIDAN ST
HOLLYWOOD, FL 33024-4139
Phone number: 702-502-1822
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Mailing Address
MELVYS PORTILLO HERNANDEZ
6470 SHERIDAN ST
HOLLYWOOD, FL 33024-4139
Phone number: 702-502-1822
Copy
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