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1689233751
CARLOS RAFAEL DOMINGUEZ
FORT MYERS, FL
NPI
1689233751
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: FL MH11165)
Enumeration Date
2019-06-11
Last Update Date
2019-09-06
Business Address
CARLOS RAFAEL DOMINGUEZ
12995 S CLEVELAND AVE
FORT MYERS, FL 33907-3890
Phone number: 305-490-7178
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Mailing Address
CARLOS RAFAEL DOMINGUEZ
12995 S CLEVELAND AVE STE 216
FORT MYERS, FL 33907-3807
Phone number: 305-490-7178
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