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1528791266
LESLIE OLLIN FONSECA
PASADENA, CA
NPI
1528791266
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-07-08
Last Update Date
2022-07-08
Business Address
Miss LESLIE OLLIN FONSECA
225 S LAKE AVE STE 300
PASADENA, CA 91101-3009
Phone number: 323-244-8300
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Mailing Address
Miss LESLIE OLLIN FONSECA
4608 E 56TH ST
MAYWOOD, CA 90270-2908
Phone number: 805-598-4967
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