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1750003208
LEYDIS FUNDORA MARTIN
LAKE WORTH, FL
NPI
1750003208
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: FL RBT-22-230127)
Enumeration Date
2022-09-12
Last Update Date
2022-09-12
Business Address
LEYDIS FUNDORA MARTIN
1203 18TH AVE N
LAKE WORTH, FL 33460-6503
Phone number: 561-410-9337
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Mailing Address
LEYDIS FUNDORA MARTIN
1203 18TH AVE N
LAKE WORTH, FL 33460-6503
Phone number: 561-410-9337
Copy
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