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1487320487
IAN RENE DIAZ
HIALEAH, FL
NPI
1487320487
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: FL RBT-20-127697)
Enumeration Date
2021-08-19
Last Update Date
2021-08-24
Business Address
IAN RENE DIAZ
19762 NW 88TH AVE
HIALEAH, FL 33018-6261
Phone number: 786-488-1847
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Mailing Address
IAN RENE DIAZ
19762 NW 88TH AVE
HIALEAH, FL 33018-6261
Phone number: 786-488-1847
Copy
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