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1104321223
ASHLEEN LAL
ELK GROVE, CA
NPI
1104321223
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: CA 16-25922)
Enumeration Date
2018-03-29
Last Update Date
2018-03-29
Business Address
ASHLEEN LAL
7801 LAGUNA BLVD STE 100
ELK GROVE, CA 95758-7954
Phone number: 916-683-1109
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Mailing Address
ASHLEEN LAL
PO BOX 5157
MODESTO, CA 95352-5157
Phone number: 209-572-2589
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