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1609612936
CRYSTAL ELIZABETH BRISENO
MONROVIA, CA
NPI
1609612936
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-07-05
Last Update Date
2024-07-05
Business Address
CRYSTAL ELIZABETH BRISENO
612 S MYRTLE AVE STE 100
MONROVIA, CA 91016-3406
Phone number: 760-269-4242
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Mailing Address
CRYSTAL ELIZABETH BRISENO
10974 SHERMAN WAY
ADELANTO, CA 92301-6040
Phone number: 562-679-3141
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