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1073125340
ANGELA KATHERINE LARA
CHULA VISTA, CA
NPI
1073125340
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: CA D9850014)
Enumeration Date
2020-08-18
Last Update Date
2020-08-18
Business Address
ANGELA KATHERINE LARA
891 KUHN DR STE 110
CHULA VISTA, CA 91914-3551
Phone number: 619-864-7070
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Mailing Address
ANGELA KATHERINE LARA
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number: 818-345-2345
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