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1528651205
BROOKE IDELL FERNANDEZ
MONROVIA, CA
NPI
1528651205
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-02-14
Last Update Date
2021-02-14
Business Address
BROOKE IDELL FERNANDEZ
612 S MYRTLE AVE STE 100
MONROVIA, CA 91016-3406
Phone number: 626-775-7888
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Mailing Address
BROOKE IDELL FERNANDEZ
1411 MALTA ST
BEAUMONT, CA 92223-3216
Phone number: 909-786-8306
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