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1043818362
IDAHLY SANDOVAL
VAN NUYS, CA
NPI
1043818362
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Other Name
DOLLY SANDOVAL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2020-10-09
Last Update Date
2024-09-06
Business Address
IDAHLY SANDOVAL
16360 ROSCOE BLVD STE 100
VAN NUYS, CA 91406-1206
Phone number: 855-223-7123
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Mailing Address
IDAHLY SANDOVAL
PO BOX 33568
SAN DIEGO, CA 92163-3568
Phone number: 855-223-7123
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