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1861171126
GEORGE MANUEL PENALOZA
HOMESTEAD, FL
NPI
1861171126
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: FL RBT-23-283630)
Enumeration Date
2023-07-13
Last Update Date
2023-07-13
Business Address
Mr. GEORGE MANUEL PENALOZA
1693 SE 31ST CT
HOMESTEAD, FL 33035-2403
Phone number: 786-424-2492
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Mailing Address
Mr. GEORGE MANUEL PENALOZA
1693 SE 31ST CT
HOMESTEAD, FL 33035-2403
Phone number: 786-424-2492
Copy
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