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1215438791
NENA MANIVONG
IRVINE, CA
NPI
1215438791
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: CA 00001046)
Enumeration Date
2018-02-21
Last Update Date
2018-02-21
Business Address
NENA MANIVONG
106 DISCOVERY
IRVINE, CA 92618-3131
Phone number: 949-203-9972
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Mailing Address
NENA MANIVONG
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number: 818-345-2345
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