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1689368656
JACQUELINE MEDINA LAGE
TAMPA, FL
NPI
1689368656
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: FL 23-275532)
Enumeration Date
2023-06-05
Last Update Date
2023-06-05
Business Address
JACQUELINE MEDINA LAGE RBT
7117 ROBINDALE RD
TAMPA, FL 33619-4723
Phone number: 813-550-7293
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Mailing Address
JACQUELINE MEDINA LAGE RBT
7117 ROBINDALE RD
TAMPA, FL 33619-4723
Phone number: 813-550-7293
Copy
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