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1679160501
MARY WANDA SAMUEL
MIAMI, FL
NPI
1679160501
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2020-12-27
Last Update Date
2021-01-27
Business Address
MARY WANDA SAMUEL
8785 SW 165TH AVE STE 104
MIAMI, FL 33193-5827
Phone number: 786-206-6500
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Mailing Address
MARY WANDA SAMUEL
6827 WILLOW CREEK RUN
LAKE WORTH, FL 33463-7416
Phone number: 561-543-7311
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