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1508314956
HUMBERTO JESUS VALLADARES FRAGOSO
GREENACRES, FL
NPI
1508314956
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: FL 1-21-53555)
Enumeration Date
2016-09-14
Last Update Date
2021-11-12
Business Address
HUMBERTO JESUS VALLADARES FRAGOSO
6425 RED PINE LN APT D
GREENACRES, FL 33415-6179
Phone number: 305-301-6937
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Mailing Address
HUMBERTO JESUS VALLADARES FRAGOSO
6425 RED PINE LN APT D
GREENACRES, FL 33415-6179
Phone number: 305-301-6937
Copy
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