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1386349256
ALEXIS RAY ACOSTA
GARDENA, CA
NPI
1386349256
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-03-31
Last Update Date
2023-04-12
Business Address
ALEXIS RAY ACOSTA
1149 W 190TH ST
GARDENA, CA 90248-4321
Phone number: 310-856-0800
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Mailing Address
ALEXIS RAY ACOSTA
1149 W 190TH ST
GARDENA, CA 90248-4321
Phone number: 562-850-4769
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