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1376146860
ELIZABETH QUINTANAL FUENTES
HIALEAH, FL
NPI
1376146860
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: FL RBT-20-122701)
Enumeration Date
2020-11-18
Last Update Date
2022-11-01
Business Address
ELIZABETH QUINTANAL FUENTES
1255 W OKEECHOBEE RD APT 20
HIALEAH, FL 33010-2976
Phone number: 786-420-5924
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Mailing Address
ELIZABETH QUINTANAL FUENTES
1905 NW 82ND AVE
DORAL, FL 33126-1011
Phone number: 786-420-5924
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