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1447727516
DIANA IVANOV
ROSEVILLE, CA
NPI
1447727516
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-10-26
Last Update Date
2018-10-26
Business Address
DIANA IVANOV
2151 PROFESSIONAL DR STE 100
ROSEVILLE, CA 95661-3761
Phone number: 916-771-0520
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Mailing Address
DIANA IVANOV
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number: 818-345-2345
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