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1740921873
IVONNE LASTRA
WEST PARK, FL
NPI
1740921873
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-04-05
Last Update Date
2022-04-05
Business Address
Mrs. IVONNE LASTRA RBT
5611 SW 41ST ST
WEST PARK, FL 33023-6101
Phone number: 954-839-5093
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Mailing Address
Mrs. IVONNE LASTRA RBT
5611 SW 41ST ST
WEST PARK, FL 33023-6101
Phone number: 954-839-5093
Copy
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