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1417575515
MICAH SUMMER OTAZU
GLENDALE, CA
NPI
1417575515
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2020-07-06
Last Update Date
2020-07-06
Business Address
MICAH SUMMER OTAZU
741 GLENVIA ST STE 102&200
GLENDALE, CA 91206-2425
Phone number: 888-805-0759
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Mailing Address
MICAH SUMMER OTAZU
1055 E COLORADO BLVD STE 560
PASADENA, CA 91106-2380
Phone number: 818-241-6780
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