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1548730369
JOHN BORESOFF-EVANGELISTA
SAN DIEGO, CA
NPI
1548730369
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-12-05
Last Update Date
2018-12-05
Business Address
JOHN BORESOFF-EVANGELISTA
4025 CAMINO DEL RIO S STE 101
SAN DIEGO, CA 92108-4100
Phone number: 818-241-6780
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Mailing Address
JOHN BORESOFF-EVANGELISTA
206 N JACKSON ST STE 202
GLENDALE, CA 91206-4330
Phone number:
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