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1740841469
EDWIN LARA
ENCINO, CA
NPI
1740841469
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-06-24
Last Update Date
2019-06-24
Business Address
EDWIN LARA
16500 VENTURA BLVD
ENCINO, CA 91436-2011
Phone number: 818-788-1003
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Mailing Address
EDWIN LARA
16500 VENTURA BLVD
ENCINO, CA 91436-2011
Phone number:
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