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1669296182
DIEGO ANDRES HENRIQUEZ LOPEZ
LAKE WORTH, FL
NPI
1669296182
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: FL RBT-24-374122)
Enumeration Date
2024-11-12
Last Update Date
2024-11-12
Business Address
DIEGO ANDRES HENRIQUEZ LOPEZ
3727 NYACK LN
LAKE WORTH, FL 33463-3497
Phone number: 561-889-9624
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Mailing Address
DIEGO ANDRES HENRIQUEZ LOPEZ
3727 NYACK LN
LAKE WORTH, FL 33463-3497
Phone number: 561-889-9624
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