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1871359711
JANETTE IRAIZ LICON
GARDEN GROVE, CA
NPI
1871359711
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-02-27
Last Update Date
2024-02-27
Business Address
JANETTE IRAIZ LICON
12437 LEWIS ST STE 100
GARDEN GROVE, CA 92840-4651
Phone number: 714-202-0118
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Mailing Address
JANETTE IRAIZ LICON
12437 LEWIS ST STE 100
GARDEN GROVE, CA 92840-4651
Phone number:
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