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1871199554
DESIREE AVA LUGO
STOCKTON, CA
NPI
1871199554
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2020-12-08
Last Update Date
2020-12-08
Business Address
DESIREE AVA LUGO
1811 GRAND CANAL BLVD
STOCKTON, CA 95207-8107
Phone number: 209-213-1124
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Mailing Address
DESIREE AVA LUGO
1811 GRAND CANAL BLVD
STOCKTON, CA 95207-8107
Phone number: 209-213-1124
Copy
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