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1750887014
MICKEY SANDOVAL
MODESTO, CA
NPI
1750887014
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-04-04
Last Update Date
2019-01-16
Business Address
MICKEY SANDOVAL
2020 STANDIFORD AVE
MODESTO, CA 95350-6529
Phone number: 209-702-0139
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Mailing Address
MICKEY SANDOVAL
1900 EMBARCADERO STE 310
OAKLAND, CA 94606-5227
Phone number: 510-832-4383
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