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1558040311
RENE IZQUIERDO CASANUEVA
LAKE WORTH, FL
NPI
1558040311
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: FL 23-281874)
Enumeration Date
2023-07-17
Last Update Date
2023-07-17
Business Address
RENE IZQUIERDO CASANUEVA
4037 KIRK LN
LAKE WORTH, FL 33461-4927
Phone number: 561-480-4576
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Mailing Address
RENE IZQUIERDO CASANUEVA
4037 KIRK LN
LAKE WORTH, FL 33461-4927
Phone number:
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