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1760028179
SELINA DIVINE LEON-SEGOVIA
CORONA, CA
NPI
1760028179
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
Enumeration Date
2019-11-20
Last Update Date
2019-11-20
Business Address
SELINA DIVINE LEON-SEGOVIA
802 MAGNOLIA AVE STE 202
CORONA, CA 92879-3144
Phone number: 951-686-2020
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Mailing Address
SELINA DIVINE LEON-SEGOVIA
21600 OXNARD ST
WOODLAND HILLS, CA 91367-4976
Phone number: 818-345-2345
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