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1053878819
TERESA MARIE DEFRATES
CONCORD, CA
NPI
1053878819
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: RBT-19-78796)
Enumeration Date
2019-02-27
Last Update Date
2019-02-28
Business Address
TERESA MARIE DEFRATES
1855 2ND ST STE B
CONCORD, CA 94519-2623
Phone number: 925-239-9640
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Mailing Address
TERESA MARIE DEFRATES
16782 VON KARMAN AVE STE 11
IRVINE, CA 92606-2417
Phone number: 949-833-2237
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