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1366059644
MIA RAE LOPEZ
SANTA MARIA, CA
NPI
1366059644
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2020-09-30
Last Update Date
2020-09-30
Business Address
MIA RAE LOPEZ
731 S LINCOLN ST
SANTA MARIA, CA 93458-6107
Phone number: 818-345-2345
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Mailing Address
MIA RAE LOPEZ
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number: 818-345-2345
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