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1962980813
LUIS JESUS QUEVEDO
PALM DESERT, CA
NPI
1962980813
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-08-02
Last Update Date
2018-08-02
Business Address
LUIS JESUS QUEVEDO
74710 HIGHWAY 111 STE 102
PALM DESERT, CA 92260-3820
Phone number: 818-345-2345
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Mailing Address
LUIS JESUS QUEVEDO
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number: 818-345-2345
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