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1033770102
WILLANDA D SPARKS
SAN DIEGO, CA
NPI
1033770102
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-06-27
Last Update Date
2019-06-27
Business Address
WILLANDA D SPARKS
10680 TREENA ST STE 170
SAN DIEGO, CA 92131-2443
Phone number: 858-432-4749
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Mailing Address
WILLANDA D SPARKS
235 TATE ST
POMONA, CA 91767-2907
Phone number: 909-450-4884
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