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1366262065
LIEM ALFONSO
HOMESTEAD, FL
NPI
1366262065
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: FL RBT-24-382582)
Enumeration Date
2024-10-16
Last Update Date
2024-10-16
Business Address
LIEM ALFONSO
29134 SW 134TH PATH
HOMESTEAD, FL 33033-5658
Phone number: 786-782-5922
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Mailing Address
LIEM ALFONSO
29134 SW 134TH PATH
HOMESTEAD, FL 33033-5658
Phone number: 786-782-5922
Copy
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