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1902471055
LUZ ANDREA MEDINA
IRVINE, CA
NPI
1902471055
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-05-21
Last Update Date
2021-05-21
Business Address
LUZ ANDREA MEDINA BA
18008 SKY PARK CIR
IRVINE, CA 92614-6433
Phone number: 949-474-1493
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Mailing Address
LUZ ANDREA MEDINA BA
300 W KNEPP AVE
FULLERTON, CA 92832-2717
Phone number: 714-618-8117
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