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1699523647
IMELDA ESPANA
ENCINO, CA
NPI
1699523647
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: CA 19-107504)
Enumeration Date
2024-05-07
Last Update Date
2024-05-07
Business Address
IMELDA ESPANA
5435 BALBOA BLVD STE 202
ENCINO, CA 91316-1570
Phone number: 310-933-4499
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Mailing Address
IMELDA ESPANA
5435 BALBOA BLVD STE 202
ENCINO, CA 91316-1570
Phone number: 310-933-4499
Copy
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