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1053828400
NELLY MANZO HERNANDEZ
PORTLAND, OR
NPI
1053828400
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: OR ABA-IN-10182125)
Enumeration Date
2018-01-08
Last Update Date
2018-01-08
Business Address
NELLY MANZO HERNANDEZ
125 NE 102ND AVE
PORTLAND, OR 97220-4166
Phone number: 503-254-6317
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Mailing Address
NELLY MANZO HERNANDEZ
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number: 818-345-2345
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