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1023625365
JACQUELINE CLAIRE FONTENOT
CERRITOS, CA
NPI
1023625365
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2020-09-30
Last Update Date
2020-09-30
Business Address
JACQUELINE CLAIRE FONTENOT
16410 BLOOMFIELD AVE STE B
CERRITOS, CA 90703-2144
Phone number: 562-760-4429
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Mailing Address
JACQUELINE CLAIRE FONTENOT
16782 VON KARMAN AVE STE 11
IRVINE, CA 92606-2417
Phone number: 949-833-2237
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