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1104487040
AMITY MARIE VASCONCELLOS
CLOVIS, CA
NPI
1104487040
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-06-21
Last Update Date
2019-06-21
Business Address
AMITY MARIE VASCONCELLOS
75 PARK CREEK DR STE 104
CLOVIS, CA 93611-4432
Phone number: 559-460-9090
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Mailing Address
AMITY MARIE VASCONCELLOS
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number: 818-345-2345
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