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1013556653
JOHANNA LOPEZ
RIVERSIDE, CA
NPI
1013556653
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-12-30
Last Update Date
2019-12-30
Business Address
JOHANNA LOPEZ
6529 RIVERSIDE AVE STE 207
RIVERSIDE, CA 92506-3134
Phone number: 657-236-1287
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Mailing Address
JOHANNA LOPEZ
PO BOX 53413
IRVINE, CA 92619-3413
Phone number: 657-236-1287
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