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1760015523
MIELLENIA EDEN LOPEZ
COVINA, CA
NPI
1760015523
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2020-02-19
Last Update Date
2020-02-19
Business Address
MIELLENIA EDEN LOPEZ
271 E WORKMAN ST STE 101
COVINA, CA 91723-3547
Phone number: 626-331-0335
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Mailing Address
MIELLENIA EDEN LOPEZ
271 E WORKMAN ST STE 101
COVINA, CA 91723-3547
Phone number: 626-331-0335
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