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1295582492
JOSE DANIEL DORTA
LAKE WORTH, FL
NPI
1295582492
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: FL RBT-24-344030)
Enumeration Date
2024-05-04
Last Update Date
2024-05-04
Business Address
JOSE DANIEL DORTA
2927 GIULIANO AVE
LAKE WORTH, FL 33461-3726
Phone number: 561-907-2309
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Mailing Address
JOSE DANIEL DORTA
2927 GIULIANO AVE
LAKE WORTH, FL 33461-3726
Phone number: 561-907-2309
Copy
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