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1366298481
JOSE CARLOS DIAZ PUENTES
MIAMI, FL
NPI
1366298481
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: FL RBT-24-342794)
Enumeration Date
2024-04-29
Last Update Date
2024-04-29
Business Address
JOSE CARLOS DIAZ PUENTES
11401 SW 40TH ST STE 360
MIAMI, FL 33165-3340
Phone number: 786-362-5816
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Mailing Address
JOSE CARLOS DIAZ PUENTES
10369 WELLEBY ISLES LN
SUNRISE, FL 33351-8296
Phone number: 786-656-1303
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