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1114747854
LUIS LARA
EL SEGUNDO, CA
NPI
1114747854
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-10-16
Last Update Date
2024-10-16
Business Address
LUIS LARA
100 N PACIFIC COAST HWY STE 1400
EL SEGUNDO, CA 90245-5602
Phone number: 424-337-1418
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Mailing Address
LUIS LARA
100 N PACIFIC COAST HWY STE 1400
EL SEGUNDO, CA 90245-5602
Phone number: 424-337-1418
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