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1073103511
MIGUEL VIVAS
SACRAMENTO, CA
NPI
1073103511
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-01-19
Last Update Date
2021-01-19
Business Address
MIGUEL VIVAS
7750 COLLEGE TOWN DR STE 204
SACRAMENTO, CA 95826-2345
Phone number: 888-428-3223
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Mailing Address
MIGUEL VIVAS
4221 WILSHIRE BLVD STE 300A
LOS ANGELES, CA 90010-3537
Phone number: 888-428-3223
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