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1770260093
AMANDA MARIA MEDINA LACOBA
CAPE CORAL, FL
NPI
1770260093
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: FL RBT-23-277640)
Enumeration Date
2023-06-28
Last Update Date
2023-06-28
Business Address
AMANDA MARIA MEDINA LACOBA
417 SW 19TH LN
CAPE CORAL, FL 33991-3725
Phone number: 786-830-1038
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Mailing Address
AMANDA MARIA MEDINA LACOBA
417 SW 19TH LN
CAPE CORAL, FL 33991-3725
Phone number: 786-830-1038
Copy
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