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1376049395
JORGE LUIS LOPEZ
MIAMI, FL
NPI
1376049395
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-03-30
Last Update Date
2018-03-30
Business Address
JORGE LUIS LOPEZ
15176 SW 128TH CT
MIAMI, FL 33186-6397
Phone number: 305-202-0234
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Mailing Address
JORGE LUIS LOPEZ
15176 SW 128TH CT
MIAMI, FL 33186-6397
Phone number: 305-202-0234
Copy
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