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1780200766
MYLENA FONSECA
CONCORD, CA
NPI
1780200766
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2020-06-24
Last Update Date
2023-02-24
Business Address
MYLENA FONSECA
1200 CONCORD AVE #100
CONCORD, CA 94520
Phone number: 509-818-4943
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Mailing Address
MYLENA FONSECA
1200 CONCORD AVE #100
CONCORD, CA 94520
Phone number:
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