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1194570499
MICHELE ULRICH PETTIFORD
ARLETA, CA
NPI
1194570499
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: CA Y4295223)
Enumeration Date
2024-04-19
Last Update Date
2024-04-19
Business Address
MICHELE ULRICH PETTIFORD
13588 MONTAGUE ST
ARLETA, CA 91331-5623
Phone number: 310-994-4356
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Mailing Address
MICHELE ULRICH PETTIFORD
1274 CENTER COURT DR STE 211
COVINA, CA 91724-3668
Phone number: 626-339-4999
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