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1225623036
OFELIA MICHELLE VIVERO
FREMONT, CA
NPI
1225623036
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Additional Taxonomies
235Z00000X Speech-Language Pathologist,
Enumeration Date
2021-03-03
Last Update Date
2022-06-06
Business Address
OFELIA MICHELLE VIVERO
39201 STATE ST
FREMONT, CA 94538-1437
Phone number: 866-206-2008
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Mailing Address
OFELIA MICHELLE VIVERO
PO BOX 399318
SAN FRANCISCO, CA 94139-9318
Phone number: 866-523-4268
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