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1689336018
LISETTE BARRAGAN ORTIZ
STOCKTON, CA
NPI
1689336018
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-10-13
Last Update Date
2021-10-13
Business Address
LISETTE BARRAGAN ORTIZ
2453 GRAND CANAL BLVD STE A
STOCKTON, CA 95207-8259
Phone number: 855-223-7123
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Mailing Address
LISETTE BARRAGAN ORTIZ
16782 VON KARMAN AVE STE 11
IRVINE, CA 92606-2417
Phone number: 855-223-7123
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