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1124611421
PANDA LEE
ELK GROVE, CA
NPI
1124611421
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-02-17
Last Update Date
2021-02-17
Business Address
PANDA LEE
9355 E STOCKTON BLVD
ELK GROVE, CA 95624-9476
Phone number: 916-683-1109
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Mailing Address
PANDA LEE
PO BOX 5157
MODESTO, CA 95352-5157
Phone number: 209-572-2589
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