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1871144691
ELIAS BRISENO
SOUTH PASADENA, CA
NPI
1871144691
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-09-23
Last Update Date
2019-09-26
Business Address
ELIAS BRISENO
625 FAIR OAKS AVE
SOUTH PASADENA, CA 91030-2630
Phone number: 323-341-5580
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Mailing Address
ELIAS BRISENO
625 FAIR OAKS AVE
SOUTH PASADENA, CA 91030-2630
Phone number:
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