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1194415323
DEREKA ISYISS MAYOME MATHIS
SACRAMENTO, CA
NPI
1194415323
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-05-10
Last Update Date
2023-05-10
Business Address
Miss DEREKA ISYISS MAYOME MATHIS
3840 ROSIN CT STE 130
SACRAMENTO, CA 95834-1699
Phone number: 916-374-0800
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Mailing Address
Miss DEREKA ISYISS MAYOME MATHIS
3840 ROSIN CT STE 130
SACRAMENTO, CA 95834-1699
Phone number: 916-374-0800
Copy
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