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1164015798
ANDREA NICOLE FAJARDO OSEJO
NORTHRIDGE, CA
NPI
1164015798
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2021-02-15
Last Update Date
2021-10-21
Business Address
ANDREA NICOLE FAJARDO OSEJO
9650 ZELZAH AVE
NORTHRIDGE, CA 91325-2003
Phone number: 818-993-9311
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Mailing Address
ANDREA NICOLE FAJARDO OSEJO
9650 ZELZAH AVE
NORTHRIDGE, CA 91325-2003
Phone number: 818-993-9311
Copy
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