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1508431057
JOSE LUIS FERNANDEZ
PEMBROKE PINES, FL
NPI
1508431057
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: FL RBT-20-121982)
Enumeration Date
2021-05-26
Last Update Date
2021-05-26
Business Address
JOSE LUIS FERNANDEZ
1881 NW 123RD AVE
PEMBROKE PINES, FL 33026-3825
Phone number: 954-589-5697
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Mailing Address
JOSE LUIS FERNANDEZ
954 SE 1ST ST
HIALEAH, FL 33010-5503
Phone number:
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