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1114550647
MICHELLE VICENCIO
DOWNEY, CA
NPI
1114550647
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2020-02-12
Last Update Date
2020-02-12
Business Address
MICHELLE VICENCIO
12432 BELLFLOWER BLVD
DOWNEY, CA 90242-2806
Phone number: 818-241-6780
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Mailing Address
MICHELLE VICENCIO
1055 E COLORADO BLVD STE 560
PASADENA, CA 91106-2380
Phone number: 818-241-6780
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