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1104478759
DIANA G ORTIZ
CANOGA PARK, CA
NPI
1104478759
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-07-14
Last Update Date
2019-07-14
Business Address
DIANA G ORTIZ
21801 ROSCOE BLVD UNIT 239
CANOGA PARK, CA 91304-3996
Phone number: 747-777-0032
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Mailing Address
DIANA G ORTIZ
21801 ROSCOE BLVD UNIT 239
CANOGA PARK, CA 91304-3996
Phone number: 747-777-0032
Copy
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