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1952965998
LARISSA JENNIFER LABS
SAN DIEGO, CA
NPI
1952965998
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Additional Taxonomies
106E00000X Assistant Behavior Analyst
Enumeration Date
2019-04-25
Last Update Date
2019-06-11
Business Address
LARISSA JENNIFER LABS
7090 MIRATECH DR
SAN DIEGO, CA 92121-3109
Phone number: 858-304-6440
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Mailing Address
LARISSA JENNIFER LABS
7090 MIRATECH DR
SAN DIEGO, CA 92121-3109
Phone number:
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