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1790568327
DIANELIS FONSECA
PEMBROKE PINES, FL
NPI
1790568327
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: FL RBT23289591)
Enumeration Date
2023-08-16
Last Update Date
2023-08-16
Business Address
DIANELIS FONSECA
8140 NW 13TH ST
PEMBROKE PINES, FL 33024-5010
Phone number: 754-236-6509
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Mailing Address
DIANELIS FONSECA
8140 NW 13TH ST
PEMBROKE PINES, FL 33024-5010
Phone number: 754-236-6509
Copy
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