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1265295893
LUIS MEDINA
CAPE CORAL, FL
NPI
1265295893
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: FL 23-316672)
Enumeration Date
2024-02-05
Last Update Date
2024-02-05
Business Address
LUIS MEDINA
1414 SW 17TH PL APT 401
CAPE CORAL, FL 33991-2386
Phone number: 561-373-6841
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Mailing Address
LUIS MEDINA
1414 SW 17TH PL APT 401
CAPE CORAL, FL 33991-2386
Phone number:
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