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1164255428
MIKAYLA LONGORIA
SAN ANTONIO, TX
NPI
1164255428
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: TX 24-370985)
Enumeration Date
2024-08-22
Last Update Date
2024-08-22
Business Address
MIKAYLA LONGORIA
24200 W INTERSTATE 10
SAN ANTONIO, TX 78257-1145
Phone number: 210-702-0057
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Mailing Address
MIKAYLA LONGORIA
5202 TEXANA DR APT 612
SAN ANTONIO, TX 78249-3778
Phone number: 210-702-0057
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