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1124686589
LATEKE DANELL BROWN
PETALUMA, CA
NPI
1124686589
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-05-31
Last Update Date
2019-05-31
Business Address
LATEKE DANELL BROWN
101 H ST STE L
PETALUMA, CA 94952-5100
Phone number: 866-206-2008
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Mailing Address
LATEKE DANELL BROWN
5021 PIER DR
STOCKTON, CA 95206-6159
Phone number: 540-628-5928
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