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1437619319
JEANNISE SANDOVAL
LONG BEACH, CA
NPI
1437619319
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: CA 5278-T)
Enumeration Date
2019-03-25
Last Update Date
2019-03-25
Business Address
JEANNISE SANDOVAL Recreation Therapist
330 GOLDEN SHR STE 250
LONG BEACH, CA 90802-4270
Phone number: 562-256-7550
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Mailing Address
JEANNISE SANDOVAL Recreation Therapist
13839 FAIRLOCK AVE
PARAMOUNT, CA 90723-2108
Phone number: 562-480-9332
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