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1144870627
TANYA KOOPLICAT
SAN LEANDRO, CA
NPI
1144870627
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2019-09-16
Last Update Date
2021-07-02
Business Address
TANYA KOOPLICAT
2275 ARLINGTON DR
SAN LEANDRO, CA 94578-1132
Phone number: 510-317-1444
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Mailing Address
TANYA KOOPLICAT
2275 ARLINGTON DR
SAN LEANDRO, CA 94578-1132
Phone number: 510-317-1444
Copy
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