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1881129336
IBIS BLANCO VIDAL
HIALEAH, FL
NPI
1881129336
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2017-04-21
Last Update Date
2017-10-16
Business Address
IBIS BLANCO VIDAL
1875 W 56TH ST APT 212
HIALEAH, FL 33012-7376
Phone number: 786-444-3974
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Mailing Address
IBIS BLANCO VIDAL
1665 W 68TH ST
HIALEAH, FL 33014-4400
Phone number: 786-773-3393
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