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1497524391
SHASTA MITCHELL
EL SEGUNDO, CA
NPI
1497524391
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-12-20
Last Update Date
2023-12-20
Business Address
SHASTA MITCHELL
100 N PACIFIC COAST HWY
EL SEGUNDO, CA 90245-4359
Phone number: 424-210-9148
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Mailing Address
SHASTA MITCHELL
100 N PACIFIC COAST HWY
EL SEGUNDO, CA 90245-4359
Phone number:
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