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1922634229
VANESSA YVETTE PORTILLO
ENCINO, CA
NPI
1922634229
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: CA 00010956)
Enumeration Date
2020-03-18
Last Update Date
2020-03-27
Business Address
VANESSA YVETTE PORTILLO
16501 VENTURA BLVD
ENCINO, CA 91436-2007
Phone number:
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Mailing Address
VANESSA YVETTE PORTILLO
10348 LURLINE AVE
CHATSWORTH, CA 91311-2439
Phone number:
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