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1932819844
YADISLEIDYS GONGORA
LEHIGH ACRES, FL
NPI
1932819844
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: FL RBT-20-147781)
Enumeration Date
2022-12-01
Last Update Date
2022-12-01
Business Address
YADISLEIDYS GONGORA
3616 8TH ST SW
LEHIGH ACRES, FL 33976-2419
Phone number: 239-294-0901
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Mailing Address
YADISLEIDYS GONGORA
3616 8TH ST SW
LEHIGH ACRES, FL 33976-2419
Phone number:
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