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1770082059
LUISANA MARIA BASTIDAS
MIAMI, FL
NPI
1770082059
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-02-01
Last Update Date
2018-02-01
Business Address
LUISANA MARIA BASTIDAS
6249 SW 131ST PL
MIAMI, FL 33183-5292
Phone number: 786-925-3867
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Mailing Address
LUISANA MARIA BASTIDAS
6249 SW 131ST PL
MIAMI, FL 33183-5292
Phone number: 786-925-3867
Copy
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