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1114526712
LUCERITO MIRANDA DORANTES
IRVINE, CA
NPI
1114526712
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: CA RBT-19-109346)
Enumeration Date
2020-10-23
Last Update Date
2020-10-23
Business Address
LUCERITO MIRANDA DORANTES
1063 MCGAW AVE
IRVINE, CA 92614-5505
Phone number: 714-834-1111
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Mailing Address
LUCERITO MIRANDA DORANTES
1063 MCGAW AVE
IRVINE, CA 92614-5505
Phone number: 714-834-1111
Copy
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