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Individual
OSVALDO GONZALEZ LOPEZ
Active
Individual
OSVALDO GONZALEZ LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCABA
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
19-9923
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023554800
—
FL
Enumeration date
12/26/2018
Last updated
12/20/2019
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