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1033610472
JACELYN LASSITER
PRAIRIEVILLE, LA
NPI
1033610472
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: LA R-2444)
Enumeration Date
2018-02-21
Last Update Date
2018-02-21
Business Address
JACELYN LASSITER
17505 OLD JEFFERSON HWY
PRAIRIEVILLE, LA 70769-3930
Phone number: 985-500-3130
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Mailing Address
JACELYN LASSITER
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number:
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