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1225720147
MARISSA CARMEN LOPEZ
THOUSAND OAKS, CA
NPI
1225720147
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-05-22
Last Update Date
2023-05-22
Business Address
MARISSA CARMEN LOPEZ
223 E THOUSAND OAKS BLVD STE 100
THOUSAND OAKS, CA 91360-7708
Phone number: 714-834-1111
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Mailing Address
MARISSA CARMEN LOPEZ
223 E THOUSAND OAKS BLVD STE 100
THOUSAND OAKS, CA 91360-7708
Phone number:
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