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1295589638
BRYAN FIDEL DIAZ
HIALEAH, FL
NPI
1295589638
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: FL 24335517)
Enumeration Date
2024-04-12
Last Update Date
2024-04-12
Business Address
BRYAN FIDEL DIAZ
5710 W 20TH CT
HIALEAH, FL 33016-2660
Phone number: 786-564-8834
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Mailing Address
BRYAN FIDEL DIAZ
1426 N FEDERAL HWY
LAKE WORTH, FL 33460-1966
Phone number:
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