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1013272426
JENNIFER LOPEZ
SAN DIEGO, CA
NPI
1013272426
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: CA 0-12-4998 BCaBA)
Enumeration Date
2012-07-11
Last Update Date
2012-07-11
Business Address
-- JENNIFER LOPEZ BCaBA
5694 MISSION CENTER RD SUITE 602, PMB 341
SAN DIEGO, CA 92108-4355
Phone number: 619-952-6345
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Mailing Address
-- JENNIFER LOPEZ BCaBA
5694 MISSION CENTER ROAD SUITE 602, PMB 341
SAN DIEGO, CA 92108
Phone number: 619-952-6345
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