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1720622749
MICELA SIMPLICIANO-MEDINA
FAIRFIELD, CA
NPI
1720622749
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-11-01
Last Update Date
2019-11-01
Business Address
MICELA SIMPLICIANO-MEDINA
744 EMPIRE ST STE 160
FAIRFIELD, CA 94533-5562
Phone number: 707-399-9413
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Mailing Address
MICELA SIMPLICIANO-MEDINA
2730 SHADELANDS DR
WALNUT CREEK, CA 94598-2538
Phone number:
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