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1609639442
LUIS DOMINGUEZ LOPEZ
HIALEAH, FL
NPI
1609639442
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-02-05
Last Update Date
2024-02-05
Business Address
LUIS DOMINGUEZ LOPEZ RBT
1199 W 35TH ST APT 307
HIALEAH, FL 33012-4984
Phone number: 754-272-7312
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Mailing Address
LUIS DOMINGUEZ LOPEZ RBT
1199 W 35TH ST APT 307
HIALEAH, FL 33012-4984
Phone number: 754-272-7312
Copy
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