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1093555195
MELODY ELLICE MARTIN
VAN NUYS, CA
NPI
1093555195
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-05-28
Last Update Date
2024-05-28
Business Address
MELODY ELLICE MARTIN
16600 SHERMAN WAY STE 178
VAN NUYS, CA 91406-3875
Phone number: 818-235-1414
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Mailing Address
MELODY ELLICE MARTIN
2530 W FOUNTAIN WAY APT 222
FRESNO, CA 93705-3017
Phone number: 559-705-3907
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