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1366922262
MIGUEL SANTIAGO HOLGUIN
LAKEWOOD, CA
NPI
1366922262
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: CA 1-18-30780)
Enumeration Date
2018-08-20
Last Update Date
2018-08-20
Business Address
MIGUEL SANTIAGO HOLGUIN BCBA
5834 ADENMOOR AVE
LAKEWOOD, CA 90713-1002
Phone number: 310-310-2931
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Mailing Address
MIGUEL SANTIAGO HOLGUIN BCBA
5845 SUNFIELD AVE
LAKEWOOD, CA 90712-1215
Phone number: 971-404-8577
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