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1043781263
VICHELLE JHANE IVY
SACRAMENTO, CA
NPI
1043781263
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-12-16
Last Update Date
2018-12-16
Business Address
VICHELLE JHANE IVY
1050 FULTON AVE
SACRAMENTO, CA 95825-4272
Phone number: 916-974-2599
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Mailing Address
VICHELLE JHANE IVY
1050 FULTON AVE
SACRAMENTO, CA 95825-4272
Phone number: 916-974-2599
Copy
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