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1326772492
AMAYA FAITH ETHERTON
RIVERBANK, CA
NPI
1326772492
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-07-13
Last Update Date
2022-07-13
Business Address
AMAYA FAITH ETHERTON
5501 ANTIQUE ROSE WAY
RIVERBANK, CA 95367-9505
Phone number: 866-523-4268
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Mailing Address
AMAYA FAITH ETHERTON
SOUTH BAY DEPT LA 22763
PASADENA, CA 91185-0001
Phone number: 866-523-4268
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