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1912557869
IVELISSE OSTOLAZA
WORCESTER, MA
NPI
1912557869
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-09-12
Last Update Date
2019-09-12
Business Address
IVELISSE OSTOLAZA
330 GROVE ST
WORCESTER, MA 01605-3909
Phone number: 818-241-6780
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Mailing Address
IVELISSE OSTOLAZA
1055 E COLORADO BLVD STE 650
PASADENA, CA 91106-2327
Phone number: 787-473-9216
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