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1912554296
DIANA TELLERIA
MONROVIA, CA
NPI
1912554296
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: CA A8350151)
Enumeration Date
2019-08-21
Last Update Date
2019-08-21
Business Address
DIANA TELLERIA
612 S MYRTLE AVE STE 100
MONROVIA, CA 91016-3406
Phone number: 626-775-7888
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Mailing Address
DIANA TELLERIA
411 S BALDWIN AVE APT 2
ARCADIA, CA 91007-3315
Phone number:
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