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1154969434
SHANTEA LOUISE TAYLOR
LAKEWOOD, WA
NPI
1154969434
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: TX 23575576)
Enumeration Date
2019-12-17
Last Update Date
2019-12-17
Business Address
SHANTEA LOUISE TAYLOR
6210 75TH ST W STE B100
LAKEWOOD, WA 98499-8109
Phone number: 253-345-5720
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Mailing Address
SHANTEA LOUISE TAYLOR
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number: 818-345-2345
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