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1023651536
CARISSA SAMUEL
FREMONT, CA
NPI
1023651536
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-10-28
Last Update Date
2019-10-28
Business Address
CARISSA SAMUEL
39210 STATE ST STE 100
FREMONT, CA 94538-1456
Phone number: 510-894-4456
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Mailing Address
CARISSA SAMUEL
21600 OXNARD ST
WOODLAND HILLS, CA 91367-4976
Phone number:
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