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1154007383
SOPHIA BAUTISTA
RIVERSIDE, CA
NPI
1154007383
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-06-22
Last Update Date
2023-06-23
Business Address
SOPHIA BAUTISTA
6876 MAGNOLIA AVE
RIVERSIDE, CA 92506-2860
Phone number: 760-992-3039
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Mailing Address
SOPHIA BAUTISTA
6876 MAGNOLIA AVE
RIVERSIDE, CA 92506-2860
Phone number:
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