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1972297158
IDALIE SANDOVAL
VICTORVILLE, CA
NPI
1972297158
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-06-08
Last Update Date
2023-06-08
Business Address
IDALIE SANDOVAL
15490 CIVIC DR STE 208
VICTORVILLE, CA 92392-2924
Phone number: 442-327-9172
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Mailing Address
IDALIE SANDOVAL
33880 PLUM TREE LN
YUCAIPA, CA 92399-2266
Phone number:
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