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1265288609
KATHLEEN BLACKLOCK
LANCASTER, CA
NPI
1265288609
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
(Licence: CA MPSS-UCEXTZ)
Enumeration Date
2024-04-26
Last Update Date
2024-04-26
Business Address
KATHLEEN BLACKLOCK
44447 10TH ST W
LANCASTER, CA 93534-3324
Phone number: 661-726-2630
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Mailing Address
KATHLEEN BLACKLOCK
44447 10TH ST W
LANCASTER, CA 93534-3324
Phone number: 661-726-2630
Copy
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