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1518790542
MENGISEN TEREVAEL MASSAWE
WEST COVINA, CA
NPI
1518790542
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-08-23
Last Update Date
2024-08-23
Business Address
MENGISEN TEREVAEL MASSAWE
1212 S CALIFORNIA AVE
WEST COVINA, CA 91790-4038
Phone number: 626-719-4561
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Mailing Address
MENGISEN TEREVAEL MASSAWE
1212 S CALIFORNIA AVE
WEST COVINA, CA 91790-4038
Phone number: 626-719-4561
Copy
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