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1356007256
KHOSROW MOBARAKEH DASHTAKI
HIALEAH, FL
NPI
1356007256
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: FL 21-191936)
Enumeration Date
2021-11-15
Last Update Date
2022-01-05
Business Address
KHOSROW MOBARAKEH DASHTAKI
20111 RED RUN DR
HIALEAH, FL 33015-2119
Phone number: 786-273-1697
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Mailing Address
KHOSROW MOBARAKEH DASHTAKI
20111 RED RUN DR
HIALEAH, FL 33015-2119
Phone number: 786-273-1697
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