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1124504089
ALYSSA AMBER LAKE
VALLEJO, CA
NPI
1124504089
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-07-13
Last Update Date
2018-07-13
Business Address
ALYSSA AMBER LAKE
150 GLEN COVE MARINA RD E
VALLEJO, CA 94591-7292
Phone number: 707-553-1784
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Mailing Address
ALYSSA AMBER LAKE
150 GLEN COVE MARINA RD E
VALLEJO, CA 94591-7292
Phone number:
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