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1659139491
INDIRA DIAZ TRUJILLO
TAMPA, FL
NPI
1659139491
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: FL 24-329213)
Enumeration Date
2024-03-07
Last Update Date
2024-12-13
Business Address
INDIRA DIAZ TRUJILLO RBT-24-329213
2511 W VIRGINIA AVE STE A
TAMPA, FL 33607-6310
Phone number: 813-666-8214
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Mailing Address
INDIRA DIAZ TRUJILLO RBT-24-329213
5619 LOUIS XIV CT APT D
TAMPA, FL 33614-5838
Phone number: 813-442-0736
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