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1104553114
IVETTE VILLAGOMEZ
RIVERSIDE, CA
NPI
1104553114
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: CA 00015492)
Enumeration Date
2022-08-01
Last Update Date
2022-08-01
Business Address
IVETTE VILLAGOMEZ None
2155 CHICAGO AVE
RIVERSIDE, CA 92507-2204
Phone number: 951-357-6926
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Mailing Address
IVETTE VILLAGOMEZ None
18726 S WESTERN AVE
GARDENA, CA 90248-3813
Phone number: 310-856-0800
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