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1811773658
MIDIALA BASAIL
LEHIGH ACRES, FL
NPI
1811773658
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: AZ RBT-23-288459)
Enumeration Date
2023-09-07
Last Update Date
2023-09-07
Business Address
MIDIALA BASAIL RBT
10264 STAFFORD CREEK BLVD APT 203
LEHIGH ACRES, FL 33936-4209
Phone number: 239-240-4423
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Mailing Address
MIDIALA BASAIL RBT
10264 STAFFORD CREEK BLVD APT 203
LEHIGH ACRES, FL 33936-4209
Phone number: 602-466-8780
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