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Individual
LIBIA GUTIERREZ
Active
Individual
LIBIA GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
20-118700
FL
253Z00000X
In Home Supportive Care Agency
689331796
FL
3336C0003X
Community/Retail Pharmacy
PH28681
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5723576
NCPDP
FL
Enumeration date
11/18/2014
Last updated
09/25/2020
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