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1922642065
LENA BACALLAO
HIALEAH, FL
NPI
1922642065
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: FL RBT-19-102143)
Enumeration Date
2019-11-01
Last Update Date
2022-09-09
Business Address
LENA BACALLAO RBT
1656 W 57TH TER
HIALEAH, FL 33012-6825
Phone number: 786-660-1108
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Mailing Address
LENA BACALLAO RBT
1656 W 57TH TER
HIALEAH, FL 33012-6825
Phone number: 786-660-1108
Copy
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