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1053946186
LAUREN ALEXIS POWELL
COSTA MESA, CA
NPI
1053946186
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2020-03-09
Last Update Date
2020-03-09
Business Address
LAUREN ALEXIS POWELL
1111 BAKER ST
COSTA MESA, CA 92626-4138
Phone number: 818-241-6780
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Mailing Address
LAUREN ALEXIS POWELL
1055 E COLORADO BLVD STE 560
PASADENA, CA 91106-2380
Phone number: 818-241-6780
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