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1902678543
OSMAR EDMUNDO AVILA
GARDEN GROVE, CA
NPI
1902678543
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-10-26
Last Update Date
2023-10-26
Business Address
OSMAR EDMUNDO AVILA
12437 LEWIS ST STE 100
GARDEN GROVE, CA 92840-4651
Phone number: 714-202-0118
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Mailing Address
OSMAR EDMUNDO AVILA
12437 LEWIS ST STE 100
GARDEN GROVE, CA 92840-4651
Phone number: 714-202-0118
Copy
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