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Individual

ABRAHAM JORGE URIARTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
6720 S FLORIDA AVE APT 4205, LAKELAND, FL 33813-3343
(502) 418-1373
Mailing address
1243 EVERGREEN PARK CIR, LAKELAND, FL 33813-2309

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
01/23/2025
Last updated
01/23/2025
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