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1154018851
MIRANDA LOPEZ
SAN DIEGO, CA
NPI
1154018851
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-04-21
Last Update Date
2024-01-05
Business Address
MIRANDA LOPEZ
4719 VIEWRIDGE AVE STE 100
SAN DIEGO, CA 92123-1685
Phone number: 866-727-8274
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Mailing Address
MIRANDA LOPEZ
2550 N HOLLYWOOD WAY STE 301
BURBANK, CA 91505-5025
Phone number: 866-727-8274
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