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1790400414
MAIBEL MEDINA
HIALEAH, FL
NPI
1790400414
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: RBT-20-143100)
Enumeration Date
2022-10-05
Last Update Date
2022-10-05
Business Address
MAIBEL MEDINA
308 E 62ND ST
HIALEAH, FL 33013-1036
Phone number: 786-357-0451
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Mailing Address
MAIBEL MEDINA
308 E 62ND ST
HIALEAH, FL 33013-1036
Phone number: 786-357-0451
Copy
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