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1194548057
MAKENA SOUSA
MODESTO, CA
NPI
1194548057
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-11-07
Last Update Date
2024-11-07
Business Address
MAKENA SOUSA
620 N. CARPENTER RD. C19
MODESTO, CA 95351
Phone number: 209-900-3722
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Mailing Address
MAKENA SOUSA
2950 BROOKSTONE DR
TURLOCK, CA 95382-9249
Phone number: 209-605-0330
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