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1073391165
JACOB NIKOLAS DE LA ROSA
CYPRESS, CA
NPI
1073391165
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-09-19
Last Update Date
2023-09-19
Business Address
JACOB NIKOLAS DE LA ROSA
5252 ORANGE AVE STE 109
CYPRESS, CA 90630-2967
Phone number: 657-213-0199
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Mailing Address
JACOB NIKOLAS DE LA ROSA
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number: 818-345-2345
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