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1114587755
JALISSA LAFAYE TRIMBLE
PETALUMA, CA
NPI
1114587755
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-06-17
Last Update Date
2019-06-17
Business Address
JALISSA LAFAYE TRIMBLE
101 H ST STE L
PETALUMA, CA 94952-5100
Phone number: 866-206-2008
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Mailing Address
JALISSA LAFAYE TRIMBLE
2921 PARKER AVE
OAKLAND, CA 94605-3319
Phone number: 229-589-0562
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