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1134764004
LATRICIA FORTES
SAN DIEGO, CA
NPI
1134764004
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-11-14
Last Update Date
2021-02-11
Business Address
LATRICIA FORTES
5333 MISSION CENTER RD STE 110
SAN DIEGO, CA 92108-1347
Phone number: 855-223-7123
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Mailing Address
LATRICIA FORTES
16782 VON KARMAN AVE STE 11
IRVINE, CA 92606-2417
Phone number: 619-550-6368
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