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1023515582
LUNORA CRUZ EVANGELISTA MORTENSON
SAN DIEGO, CA
NPI
1023515582
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-04-11
Last Update Date
2018-04-11
Business Address
LUNORA CRUZ EVANGELISTA MORTENSON
501 W BROADWAY STE 800
SAN DIEGO, CA 92101-3546
Phone number: 888-880-9270
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Mailing Address
LUNORA CRUZ EVANGELISTA MORTENSON
500 FAIRWAY DR STE 102
DEERFIELD BCH, FL 33441-1817
Phone number: 888-880-9270
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