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1184284655
JOCELYN PROVENCIO
PETALUMA, CA
NPI
1184284655
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-06-17
Last Update Date
2019-06-17
Business Address
JOCELYN PROVENCIO
101 H ST STE L
PETALUMA, CA 94952-5100
Phone number: 866-206-2008
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Mailing Address
JOCELYN PROVENCIO
2213 VALENCIA DR
BAKERSFIELD, CA 93306-4847
Phone number: 661-301-5547
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