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1114414869
SHAMPAIGN POTTS
PETALUMA, CA
NPI
1114414869
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-04-18
Last Update Date
2018-04-18
Business Address
SHAMPAIGN POTTS
101 H ST STE L
PETALUMA, CA 94952-5100
Phone number: 866-206-2008
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Mailing Address
SHAMPAIGN POTTS
1953 GLEN RIDGE DR
CERES, CA 95307-2917
Phone number: 209-614-0205
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