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1457972655
JORDAN J POMARES BENITEZ
DORAL, FL
NPI
1457972655
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-04-29
Last Update Date
2022-05-27
Business Address
JORDAN J POMARES BENITEZ
10520 NW 26TH ST STE C201C202
DORAL, FL 33172-5940
Phone number: 786-704-6657
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Mailing Address
JORDAN J POMARES BENITEZ
8030 CAMINO CT
MIAMI, FL 33143-6738
Phone number:
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