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1831885557
ANGELA LICONA
SAN MARCOS, CA
NPI
1831885557
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-04-14
Last Update Date
2023-04-14
Business Address
ANGELA LICONA
338 VIA VERA CRUZ # 130
SAN MARCOS, CA 92078-2645
Phone number: 866-727-8274
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Mailing Address
ANGELA LICONA
2550 N HOLLYWOOD WAY STE 301
BURBANK, CA 91505-5025
Phone number: 866-727-8274
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