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1316713456
IYSHIAH LACEY
SAN JOSE, CA
NPI
1316713456
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-11-29
Last Update Date
2023-11-29
Business Address
IYSHIAH LACEY
3610 SNELL AVE
SAN JOSE, CA 95136-1305
Phone number: 866-227-1211
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Mailing Address
IYSHIAH LACEY
3610 SNELL AVE
SAN JOSE, CA 95136-1305
Phone number: 866-227-1211
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