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1982459228
LIDICE PEREZ LOPEZ
PORT ST LUCIE, FL
NPI
1982459228
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: FL RBT-24333640)
Enumeration Date
2024-04-19
Last Update Date
2024-04-19
Business Address
LIDICE PEREZ LOPEZ
1887 SE PORT ST LUCIE BLVD
PORT ST LUCIE, FL 34952-5530
Phone number: 772-463-0444
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Mailing Address
LIDICE PEREZ LOPEZ
912 BERGAMOT LN APT 4307
MELBOURNE, FL 32904-5233
Phone number: 201-577-2120
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