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Individual

CARLOS MANUEL IRIZAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3355 MCDANIEL RD APT 17305, DULUTH, GA 30096-8681
(786) 281-2591
Mailing address
3355 MCDANIEL RD APT 17305, DULUTH, GA 30096-8681
(786) 281-2591

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
FL

Other

Enumeration date
10/01/2020
Last updated
10/01/2020
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