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1427782259
JACKELINE CORALEE LOPEZ
DORAL, FL
NPI
1427782259
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: FL 106SOOOOOX)
Enumeration Date
2022-07-16
Last Update Date
2022-07-16
Business Address
JACKELINE CORALEE LOPEZ
7875 NW 12TH ST STE 109
DORAL, FL 33126-1815
Phone number: 786-269-3502
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Mailing Address
JACKELINE CORALEE LOPEZ
1041 NE 78TH RD APT 4
MIAMI, FL 33138-4215
Phone number: 561-669-1539
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