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Individual

DAVID OSWALDO VALDEPENA GARCIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
6900 78TH AVE N, BROOKLYN PARK, MN 55445-2719
(612) 757-2204
Mailing address
6900 78TH AVE N, BROOKLYN PARK, MN 55445-2719

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
08/02/2021
Last updated
08/02/2021
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