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1558832899
ANGELICA LOPEZ
PORT SAINT LUCIE, FL
NPI
1558832899
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-12-16
Last Update Date
2018-12-16
Business Address
ANGELICA LOPEZ
590 NW PEACOCK BLVD
PORT SAINT LUCIE, FL 34986-2213
Phone number: 772-905-8096
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Mailing Address
ANGELICA LOPEZ
481 SE SEAHOUSE DR
PORT SAINT LUCIE, FL 34983-4513
Phone number: 772-342-1400
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