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1952892259
ATHENA FAJARDO
SAN DIEGO, CA
NPI
1952892259
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-05-22
Last Update Date
2018-05-22
Business Address
ATHENA FAJARDO
625 PENNSYLVANIA AVE
SAN DIEGO, CA 92103-4321
Phone number: 858-603-4812
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Mailing Address
ATHENA FAJARDO
813 WOODSPRING DR
CHULA VISTA, CA 91913-2343
Phone number:
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