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1932615341
JOHANNA M FENNELL
SAN DIEGO, CA
NPI
1932615341
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: CA RBT-16-22846)
Enumeration Date
2017-12-20
Last Update Date
2017-12-20
Business Address
JOHANNA M FENNELL
3978 SORRENTO VALLEY BLVD STE 100
SAN DIEGO, CA 92121-1436
Phone number: 858-428-0222
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Mailing Address
JOHANNA M FENNELL
2236 CHATSWORTH BLVD APT 17
SAN DIEGO, CA 92106-1674
Phone number:
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