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1124741434
KAROL LICEAGA
MONROVIA, CA
NPI
1124741434
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-09-21
Last Update Date
2022-09-21
Business Address
KAROL LICEAGA
1333 S MAYFLOWER AVE STE 220
MONROVIA, CA 91016-5239
Phone number: 818-241-6780
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Mailing Address
KAROL LICEAGA
1333 S MAYFLOWER AVE STE 220
MONROVIA, CA 91016-5239
Phone number: 818-643-9005
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