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1730693342
CARLOS HENRIQUEZ
DEARBORN, MI
NPI
1730693342
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2017-11-20
Last Update Date
2017-11-20
Business Address
CARLOS HENRIQUEZ
6271 SCHAEFER RD STE 102
DEARBORN, MI 48126-2210
Phone number: 313-652-6701
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Mailing Address
CARLOS HENRIQUEZ
27856 LENOX AVE
MADISON HEIGHTS, MI 48071-2730
Phone number: 248-210-0146
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