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1255038238
VIDISHA KETANBHAI SHAH
SAN DIEGO, CA
NPI
1255038238
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-02-10
Last Update Date
2023-02-10
Business Address
VIDISHA KETANBHAI SHAH
7592 METROPOLITAN DR STE 404
SAN DIEGO, CA 92108-4428
Phone number: 619-663-9028
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Mailing Address
VIDISHA KETANBHAI SHAH
9045 JUDICIAL DR APT 1423
SAN DIEGO, CA 92122
Phone number: 619-953-7280
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