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1063975019
MARICRIS MANCILLA MAXWELL
TACOMA, WA
NPI
1063975019
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: WA CB60936910)
Enumeration Date
2019-04-08
Last Update Date
2024-05-02
Business Address
MARICRIS MANCILLA MAXWELL
3680 S CEDAR ST STE A
TACOMA, WA 98409-5728
Phone number: 253-358-0888
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Mailing Address
MARICRIS MANCILLA MAXWELL
PO BOX 33568
SAN DIEGO, CA 92163-3568
Phone number: 855-223-7123
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