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1558185140
RICHARD JASON LARA-SANDOVAL
COVINA, CA
NPI
1558185140
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-11-11
Last Update Date
2024-11-11
Business Address
RICHARD JASON LARA-SANDOVAL
1274 CENTER COURT DR STE 211
COVINA, CA 91724-3668
Phone number: 626-339-4999
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Mailing Address
RICHARD JASON LARA-SANDOVAL
1274 CENTER COURT DR STE 211
COVINA, CA 91724-3668
Phone number: 626-339-4999
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