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1437858578
LUIS MANUEL DORTA
LAKE WORTH, FL
NPI
1437858578
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: FL RBT-23-258944)
Enumeration Date
2023-02-27
Last Update Date
2023-02-27
Business Address
LUIS MANUEL DORTA
4381 TREVI CT APT 302
LAKE WORTH, FL 33467-4050
Phone number: 561-929-0979
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Mailing Address
LUIS MANUEL DORTA
4381 TREVI CT APT 302
LAKE WORTH, FL 33467-4050
Phone number: 561-929-0979
Copy
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