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1265043392
NICOLE IBANEZ
SANFORD, FL
NPI
1265043392
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2020-08-12
Last Update Date
2022-09-13
Business Address
NICOLE IBANEZ
1590 TROPIC PARK DR
SANFORD, FL 32773-6323
Phone number: 407-202-2220
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Mailing Address
NICOLE IBANEZ
121 N HIGHLAND ST
MOUNT DORA, FL 32757-5764
Phone number: 352-720-5194
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