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1750971909
MINA GAVINLERTVATANA
LA PALMA, CA
NPI
1750971909
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-01-21
Last Update Date
2022-10-25
Business Address
MINA GAVINLERTVATANA
6 CENTERPOINTE DR STE 700
LA PALMA, CA 90623-2545
Phone number: 800-939-3410
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Mailing Address
MINA GAVINLERTVATANA
103 W VALENCIA DR
FULLERTON, CA 92832-2317
Phone number: 949-677-2134
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