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1790525368
DEMITRI LI CORONADO
ELK GROVE, CA
NPI
1790525368
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: CA Y6356598)
Enumeration Date
2024-05-30
Last Update Date
2024-05-30
Business Address
DEMITRI LI CORONADO
2366 MARITIME DR
ELK GROVE, CA 95758-3639
Phone number: 916-365-4500
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Mailing Address
DEMITRI LI CORONADO
10430 NUCLEO ST
ELK GROVE, CA 95757-1761
Phone number:
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