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Individual
YASMANI LLANES BASULTO
Active
Individual
YASMANI LLANES BASULTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH20752
FL
103K00000X
Behavior Analyst
Primary
1-20-43537
FL
Other
Enumeration date
09/11/2020
Last updated
07/27/2022
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