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1891290128
JENNIFER SO
GARDEN GROVE, CA
NPI
1891290128
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: CA 0002665)
Enumeration Date
2018-03-28
Last Update Date
2018-03-28
Business Address
JENNIFER SO
12399 LEWIS ST STE 202
GARDEN GROVE, CA 92840-4697
Phone number: 714-750-0575
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Mailing Address
JENNIFER SO
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number: 818-345-2345
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