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1972252328
JOVAN LEE DE LA VEGA
VICTORVILLE, CA
NPI
1972252328
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-03-22
Last Update Date
2022-03-22
Business Address
JOVAN LEE DE LA VEGA
14344 MCART RD
VICTORVILLE, CA 92392-3000
Phone number: 321-900-7514
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Mailing Address
JOVAN LEE DE LA VEGA
PO BOX 1853
APPLE VALLEY, CA 92307-0035
Phone number:
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