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1124711189
BASTY FARIAS MAYORQUIN
MONROVIA, CA
NPI
1124711189
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-05-26
Last Update Date
2023-05-26
Business Address
BASTY FARIAS MAYORQUIN
222 E HUNTINGTON DR STE 213
MONROVIA, CA 91016-8013
Phone number: 866-727-8274
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Mailing Address
BASTY FARIAS MAYORQUIN
2550 N HOLLYWOOD WAY STE 301
BURBANK, CA 91505-5025
Phone number:
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