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1457869901
CAMILLE CARMEN TEWALT
POWAY, CA
NPI
1457869901
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: CA RBT-15-10325)
Enumeration Date
2018-01-18
Last Update Date
2018-01-18
Business Address
CAMILLE CARMEN TEWALT
15708 POMERADO RD STE 102N
POWAY, CA 92064-2035
Phone number: 858-746-5566
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Mailing Address
CAMILLE CARMEN TEWALT
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number: 818-345-2345
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