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1851904130
ANTHONY ALEXANDER MEDELLIN
COVINA, CA
NPI
1851904130
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2020-08-26
Last Update Date
2020-08-26
Business Address
ANTHONY ALEXANDER MEDELLIN
210 N CITRUS AVE STE A1
COVINA, CA 91723-2060
Phone number: 818-235-1414
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Mailing Address
ANTHONY ALEXANDER MEDELLIN
7226 SEPULVEDA BLVD
VAN NUYS, CA 91405-2003
Phone number: 818-235-1414
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