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1306660196
PAMELA SUE MACKUS
YUCAIPA, CA
NPI
1306660196
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: CA 106S00000X)
Enumeration Date
2024-11-08
Last Update Date
2024-11-08
Business Address
PAMELA SUE MACKUS
34448 YUCAIPA BLVD STE A
YUCAIPA, CA 92399-2412
Phone number: 951-581-4353
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Mailing Address
PAMELA SUE MACKUS
25590 PROSPECT AVE APT 49E
LOMA LINDA, CA 92354-3157
Phone number: 951-581-4353
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