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1629478789
JUAN A ORTIZ LOPEZ
CASSELBERRY, FL
NPI
1629478789
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2014-08-26
Last Update Date
2018-12-28
Business Address
JUAN A ORTIZ LOPEZ
148 WILSHIRE BLVD
CASSELBERRY, FL 32707-5372
Phone number: 407-978-6085
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Mailing Address
JUAN A ORTIZ LOPEZ
3592 SANCTUARY DR
SAINT CLOUD, FL 34769-7122
Phone number: 321-746-0778
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