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1689330003
JOSE BAZALAR
MIAMI, FL
NPI
1689330003
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-11-10
Last Update Date
2021-11-10
Business Address
JOSE BAZALAR
12042 SW 124TH TER
MIAMI, FL 33186-5187
Phone number: 786-348-7239
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Mailing Address
JOSE BAZALAR
12042 SW 124TH TER
MIAMI, FL 33186-5187
Phone number:
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