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1053060673
STEPHANIE BRITTANY MANCILLA
SAN DIEGO, CA
NPI
1053060673
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
Enumeration Date
2022-03-21
Last Update Date
2022-03-21
Business Address
STEPHANIE BRITTANY MANCILLA
4686 MISSION GORGE PL
SAN DIEGO, CA 92120-4133
Phone number: 714-881-0427
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Mailing Address
STEPHANIE BRITTANY MANCILLA
3186 AIRWAY AVE STE A
COSTA MESA, CA 92626-4650
Phone number: 714-881-0427
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