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1659149425
LAZARO M IBANEZ STUART
HIALEAH, FL
NPI
1659149425
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: FL RBT-23-305377)
Enumeration Date
2023-12-12
Last Update Date
2023-12-12
Business Address
LAZARO M IBANEZ STUART
6071 NW 198TH TER
HIALEAH, FL 33015-4857
Phone number: 305-613-2689
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Mailing Address
LAZARO M IBANEZ STUART
6071 NW 198TH TER
HIALEAH, FL 33015-4857
Phone number:
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