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1669055620
PERDITA SAMUEL-LOPEZ
TAMPA, FL
NPI
1669055620
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-04-28
Last Update Date
2021-04-28
Business Address
PERDITA SAMUEL-LOPEZ
4817 EHRLICH RD
TAMPA, FL 33624-2037
Phone number: 877-823-4283
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Mailing Address
PERDITA SAMUEL-LOPEZ
2035 SW 75TH ST STE B
GAINESVILLE, FL 32607-3425
Phone number: 877-823-4283
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