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1013570951
MARISOL TELLO VASQUEZ
WOODBURN, OR
NPI
1013570951
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2019-04-16
Last Update Date
2019-04-16
Business Address
MARISOL TELLO VASQUEZ
1369 N PACIFIC HWY # 1369
WOODBURN, OR 97071-3617
Phone number: 971-338-7761
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Mailing Address
MARISOL TELLO VASQUEZ
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number: 818-345-2345
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