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1043706294
TRACY WALLEN
SACRAMENTO, CA
NPI
1043706294
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-07-10
Last Update Date
2018-07-10
Business Address
TRACY WALLEN
1446 ETHAN WAY
SACRAMENTO, CA 95825-2214
Phone number: 209-667-2273
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Mailing Address
TRACY WALLEN
2157 ROYAL OAKS DR
SACRAMENTO, CA 95815-3819
Phone number: 415-375-2638
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