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1740960756
MIGUEL LOPEZ
RIVERSIDE, CA
NPI
1740960756
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-07-24
Last Update Date
2023-07-24
Business Address
MIGUEL LOPEZ
5750 DIVISION ST STE 104
RIVERSIDE, CA 92506-3259
Phone number: 951-900-7411
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Mailing Address
MIGUEL LOPEZ
21600 OXNARD ST
WOODLAND HILLS, CA 91367-4976
Phone number:
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