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1720745904
QUEENNIE TA
IRVINE, CA
NPI
1720745904
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-11-22
Last Update Date
2021-11-22
Business Address
QUEENNIE TA
3652 MICHELSON DR
IRVINE, CA 92612-1727
Phone number: 949-474-1493
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Mailing Address
QUEENNIE TA
3652 MICHELSON DR
IRVINE, CA 92612-1727
Phone number:
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