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1780317909
IRIS NISANOV
BOCA RATON, FL
NPI
1780317909
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: FL RBT-22-221435)
Enumeration Date
2022-07-05
Last Update Date
2022-07-05
Business Address
IRIS NISANOV
7707 COURTYARD RUN W
BOCA RATON, FL 33433-3035
Phone number: 347-863-5739
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Mailing Address
IRIS NISANOV
5840 LAKESHORE DR APT 216
FORT LAUDERDALE, FL 33312-6454
Phone number: 347-863-5739
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