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1215533427
JACQUELYN DOMENIQUE LANDERS
SAN DIEGO, CA
NPI
1215533427
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2020-12-11
Last Update Date
2020-12-11
Business Address
JACQUELYN DOMENIQUE LANDERS
2404 F ST
SAN DIEGO, CA 92102-2025
Phone number: 619-493-0077
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Mailing Address
JACQUELYN DOMENIQUE LANDERS
2404 F ST
SAN DIEGO, CA 92102-2025
Phone number: 619-493-0077
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