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1689149494
MELISSA ANDREA VICENCIO
SAN JOSE, CA
NPI
1689149494
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-10-08
Last Update Date
2018-10-08
Business Address
MELISSA ANDREA VICENCIO
1922 THE ALAMEDA STE 425
SAN JOSE, CA 95126-1453
Phone number: 510-679-3545
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Mailing Address
MELISSA ANDREA VICENCIO
3432 HICKERSON DR
SAN JOSE, CA 95127-4314
Phone number:
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