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1255154027
JACKILYN DE LARA
VICTORVILLE, CA
NPI
1255154027
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-11-01
Last Update Date
2024-11-01
Business Address
JACKILYN DE LARA
15490 CIVIC DR STE 103
VICTORVILLE, CA 92392-2382
Phone number: 442-327-9172
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Mailing Address
JACKILYN DE LARA
14696 CENTRAL RD
APPLE VALLEY, CA 92307-4148
Phone number: 714-831-7308
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