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1669060455
AZUCENA MEDINA-CARRASCO
FAIRFIELD, CA
NPI
1669060455
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-01-06
Last Update Date
2021-01-06
Business Address
AZUCENA MEDINA-CARRASCO
801 JEFFERSON ST STE 4
FAIRFIELD, CA 94533-5557
Phone number: 707-720-3869
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Mailing Address
AZUCENA MEDINA-CARRASCO
16782 VON KARMAN AVE STE 11
IRVINE, CA 92606-2417
Phone number: 949-833-2237
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