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1740060193
ALEXIS ANTONIO JIMENEZ QUINTERO
STUART, FL
NPI
1740060193
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-10-03
Last Update Date
2023-10-03
Business Address
ALEXIS ANTONIO JIMENEZ QUINTERO
7108 S KANNER HWY
STUART, FL 34997-7462
Phone number: 855-832-6727
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Mailing Address
ALEXIS ANTONIO JIMENEZ QUINTERO
7108 S KANNER HWY
STUART, FL 34997-7462
Phone number: 855-832-6727
Copy
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