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1588271761
LUIS ENRIQUE LARA
RIVERSIDE, CA
NPI
1588271761
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2020-09-30
Last Update Date
2020-09-30
Business Address
LUIS ENRIQUE LARA RBT
3600 LIME ST STE 612
RIVERSIDE, CA 92501-0919
Phone number: 951-210-9773
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Mailing Address
LUIS ENRIQUE LARA RBT
262 W 1ST ST
PERRIS, CA 92570-2001
Phone number: 951-210-9773
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