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1881345049
SAMUEL WAGMAN
DORAL, FL
NPI
1881345049
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: FL RBT-22-198642)
Enumeration Date
2022-01-10
Last Update Date
2022-01-10
Business Address
MR. SAMUEL WAGMAN
7875 NW 12TH ST STE 109
DORAL, FL 33126-1815
Phone number: 786-269-3502
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Mailing Address
MR. SAMUEL WAGMAN
4150 DAVIE ROAD EXT APT 1202
HOLLYWOOD, FL 33024-1694
Phone number: 516-637-7080
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