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1518745124
MARISOL MATA
HOMESTEAD, FL
NPI
1518745124
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: FL RBT-23-294578)
Enumeration Date
2023-09-15
Last Update Date
2023-09-15
Business Address
MARISOL MATA
101 NE 9TH ST APT 1
HOMESTEAD, FL 33030-4655
Phone number: 786-728-6134
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Mailing Address
MARISOL MATA
101 NE 9TH ST APT 1
HOMESTEAD, FL 33030-4655
Phone number: 786-728-6134
Copy
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