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1881463495
MARK JUSTIN LOPEZ
TAMPA, FL
NPI
1881463495
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-12-22
Last Update Date
2023-12-22
Business Address
MARK JUSTIN LOPEZ
10004 N DALE MABRY HWY STE 102
TAMPA, FL 33618-4421
Phone number: 224-587-0647
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Mailing Address
MARK JUSTIN LOPEZ
350 FAIRWAY DRIVE, SUITE 101
DEERFIELD BEACH, FL 33441
Phone number: 877-418-2978
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