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1811553910
LATRICE HENDERSON
SANTA ANA, CA
NPI
1811553910
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-05-14
Last Update Date
2019-05-14
Business Address
LATRICE HENDERSON
640 N TUSTIN AVE STE 101
SANTA ANA, CA 92705-3731
Phone number: 949-608-3697
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Mailing Address
LATRICE HENDERSON
640 N TUSTIN AVE STE 101
SANTA ANA, CA 92705-3731
Phone number: 949-608-3697
Copy
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