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1417570383
MAIRA LOPEZ
HIALEAH, FL
NPI
1417570383
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: FL 20-119284)
Enumeration Date
2020-05-26
Last Update Date
2022-03-09
Business Address
MAIRA LOPEZ
6976 NW 168TH ST
HIALEAH, FL 33015-4264
Phone number: 786-380-0780
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Mailing Address
MAIRA LOPEZ
6976 NW 168TH ST
HIALEAH, FL 33015-4264
Phone number: 786-380-0780
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