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1821410069
IVA FARRIS
MANTECA, CA
NPI
1821410069
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: CA 1-13-14508)
Enumeration Date
2014-01-07
Last Update Date
2014-01-07
Business Address
-- IVA FARRIS
1682 SILVERWOOD AVE
MANTECA, CA 95336-2827
Phone number: 209-505-9536
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Mailing Address
-- IVA FARRIS
1682 SILVERWOOD AVE
MANTECA, CA 95336-2827
Phone number: 209-505-9536
Copy
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