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1285310961
KAREN GISSELLE PENA
TUSTIN, CA
NPI
1285310961
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-06-26
Last Update Date
2023-06-26
Business Address
KAREN GISSELLE PENA
290 S PROSPECT AVE STE A
TUSTIN, CA 92780-1523
Phone number: 415-646-6223
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Mailing Address
KAREN GISSELLE PENA
3570 GAGE AVE APT D
BELL, CA 90201-1045
Phone number: 323-519-5195
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