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1376009100
EZRA JON PEREZ-LOPEZ
ELK GROVE, CA
NPI
1376009100
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
Enumeration Date
2019-02-18
Last Update Date
2019-02-18
Business Address
EZRA JON PEREZ-LOPEZ
9701 DINO DR STE 170
ELK GROVE, CA 95624-4042
Phone number: 818-345-2345
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Mailing Address
EZRA JON PEREZ-LOPEZ
6935 ARVADA CT
SACRAMENTO, CA 95828-2108
Phone number: 916-277-4609
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