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1255890398
SHIRA CARROLL
COVINA, CA
NPI
1255890398
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-03-18
Last Update Date
2019-03-18
Business Address
SHIRA CARROLL
210 N CITRUS AVE
COVINA, CA 91723-2060
Phone number: 818-235-1414
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Mailing Address
SHIRA CARROLL
7226 SEPULVEDA BLVD
VAN NUYS, CA 91405-2003
Phone number: 818-235-1414
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