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1336849710
JORGE MANUEL LAZO DE LA VEGA
BOYNTON BEACH, FL
NPI
1336849710
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: FL RBT-23-259401)
Enumeration Date
2023-03-06
Last Update Date
2023-03-06
Business Address
JORGE MANUEL LAZO DE LA VEGA
1375 GATEWAY BLVD STE 6
BOYNTON BEACH, FL 33426-8304
Phone number: 786-508-3245
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Mailing Address
JORGE MANUEL LAZO DE LA VEGA
1483 W 44TH TER
HIALEAH, FL 33012-7675
Phone number: 786-609-5043
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