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1386417830
LAZARO OTANO FERNANDEZ
HIALEAH, FL
NPI
1386417830
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: FL 23-299333)
Enumeration Date
2023-11-06
Last Update Date
2023-11-06
Business Address
Mr. LAZARO OTANO FERNANDEZ
2212 W 74TH ST APT 101
HIALEAH, FL 33016-6863
Phone number: 786-825-5345
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Mailing Address
Mr. LAZARO OTANO FERNANDEZ
2212 W 74TH ST APT 101
HIALEAH, FL 33016-6863
Phone number: 786-825-5345
Copy
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