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1225717069
STACY YVETTE BASURTO
SAN DIEGO, CA
NPI
1225717069
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-07-17
Last Update Date
2023-07-17
Business Address
STACY YVETTE BASURTO
4223 ARIZONA ST APT 4
SAN DIEGO, CA 92104-6105
Phone number: 520-437-2755
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Mailing Address
STACY YVETTE BASURTO
3878 RUFFIN RD
SAN DIEGO, CA 92123-1842
Phone number:
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