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1346863941
LISY REYES DOMINGUEZ
PEMBROKE PINES, FL
NPI
1346863941
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: FL RBT-20-116503)
Enumeration Date
2020-05-19
Last Update Date
2020-05-19
Business Address
LISY REYES DOMINGUEZ
1881 NW 123RD AVE
PEMBROKE PINES, FL 33026-3825
Phone number: 954-589-5697
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Mailing Address
LISY REYES DOMINGUEZ
15565 SW 63RD TER
MIAMI, FL 33193-2838
Phone number: 305-803-1802
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