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1194502583
ALEXIS STALLWORTH
TRACY, CA
NPI
1194502583
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-09-11
Last Update Date
2023-09-11
Business Address
ALEXIS STALLWORTH
510 WHISPERING WIND DR #110
TRACY, CA 95377-8119
Phone number: 303-989-8169
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Mailing Address
ALEXIS STALLWORTH
510 WHISPERING WIND DR #110
TRACY, CA 95377-8119
Phone number:
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