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1588390413
LOURDES DANIELA MEDINA
VACAVILLE, CA
NPI
1588390413
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: CA BACB329912)
Enumeration Date
2022-07-25
Last Update Date
2022-12-06
Business Address
LOURDES DANIELA MEDINA
183 BUTCHER RD STE A
VACAVILLE, CA 95687-5691
Phone number: 707-724-6810
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Mailing Address
LOURDES DANIELA MEDINA
183 BUTCHER RD STE A
VACAVILLE, CA 95687-5691
Phone number:
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