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1962092593
JENNIE LISETTE EDEZA
WOODLAND HILLS, CA
NPI
1962092593
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-01-18
Last Update Date
2021-01-18
Business Address
JENNIE LISETTE EDEZA
21600 OXNARD ST
WOODLAND HILLS, CA 91367-4976
Phone number: 877-206-1009
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Mailing Address
JENNIE LISETTE EDEZA
8937 PALMETTO AVE
FONTANA, CA 92335-4944
Phone number: 909-501-5130
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