JORGE AMADO ROQUE BLANCO

LEHIGH ACRES, FL
NPI1992220453
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2017-08-07
Last Update Date2022-07-21
Business Address
JORGE AMADO ROQUE BLANCO
1412 JUDDALE ST E
LEHIGH ACRES, FL 33936-5812
Phone number: 239-240-4511
Mailing Address
JORGE AMADO ROQUE BLANCO
1412 JUDDALE ST E
LEHIGH ACRES, FL 33936-5812
Phone number: 239-240-4511
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