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1578181954
KENNY LOPEZ MANGANO
MIAMI, FL
NPI
1578181954
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2020-07-11
Last Update Date
2020-07-11
Business Address
KENNY LOPEZ MANGANO
965 SW 147TH CT
MIAMI, FL 33194-2916
Phone number: 786-863-2022
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Mailing Address
KENNY LOPEZ MANGANO
965 SW 147TH CT
MIAMI, FL 33194-2916
Phone number: 786-863-2022
Copy
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