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1750003331
EDWIN ALEXIS MEDINA
LONG BEACH, CA
NPI
1750003331
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-09-12
Last Update Date
2022-09-12
Business Address
EDWIN ALEXIS MEDINA
2601 MARBER AVE
LONG BEACH, CA 90815-1137
Phone number: 562-377-1027
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Mailing Address
EDWIN ALEXIS MEDINA
2601 MARBER AVE
LONG BEACH, CA 90815-1137
Phone number:
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