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1124608542
DISHANEA ERVIN
GARDENA, CA
NPI
1124608542
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-04-09
Last Update Date
2021-04-09
Business Address
DISHANEA ERVIN
1149 W 190TH ST STE 2200
GARDENA, CA 90248-4344
Phone number: 310-856-0800
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Mailing Address
DISHANEA ERVIN
18726 S WESTERN AVE STE 408
GARDENA, CA 90248-3858
Phone number: 310-856-0800
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