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1649841313
LEILANI TAKATA
RIVERSIDE, CA
NPI
1649841313
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-07-05
Last Update Date
2021-07-05
Business Address
LEILANI TAKATA
4146 UNIVERSITY AVE
RIVERSIDE, CA 92501-3140
Phone number: 626-353-8933
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Mailing Address
LEILANI TAKATA
4146 UNIVERSITY AVE
RIVERSIDE, CA 92501-3140
Phone number: 626-353-8933
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