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1346706934
MAXINE SHOOK EGHTESADI
SAN DIEGO, CA
NPI
1346706934
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-02-19
Last Update Date
2019-02-19
Business Address
Ms. MAXINE SHOOK EGHTESADI
16885 VIA DEL CAMPO CT STE 314
SAN DIEGO, CA 92127-1753
Phone number: 858-987-4143
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Mailing Address
Ms. MAXINE SHOOK EGHTESADI
663 S RANCHO SANTA FE RD # 180
SAN MARCOS, CA 92078-3973
Phone number: 760-809-5198
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