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1659122612
JUAN CARLOS LARA
VAN NUYS, CA
NPI
1659122612
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-03-28
Last Update Date
2024-03-28
Business Address
JUAN CARLOS LARA
16600 SHERMAN WAY # 178
VAN NUYS, CA 91406-3875
Phone number: 818-235-1414
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Mailing Address
JUAN CARLOS LARA
16600 SHERMAN WAY # 178
VAN NUYS, CA 91406-3875
Phone number: 818-235-1414
Copy
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