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1538660915
TIA-CHANNELL HERNANDEZ
SAN MARCOS, CA
NPI
1538660915
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
Enumeration Date
2018-02-22
Last Update Date
2018-02-22
Business Address
TIA-CHANNELL HERNANDEZ
334 VIA VERA CRUZ
SAN MARCOS, CA 92078-2635
Phone number: 760-304-5010
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Mailing Address
TIA-CHANNELL HERNANDEZ
21600 OXNARD ST
WOODLAND HILLS, CA 91367-4976
Phone number:
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