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1326790619
ALISHA MODUPE ALLI-SHORT
STOCKTON, CA
NPI
1326790619
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-01-19
Last Update Date
2022-01-19
Business Address
ALISHA MODUPE ALLI-SHORT
1811 GRAND CANAL BLVD STE 2
STOCKTON, CA 95207-8107
Phone number: 877-418-2978
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Mailing Address
ALISHA MODUPE ALLI-SHORT
1714 FRANKLIN ST # 100-182
OAKLAND, CA 94612-3488
Phone number: 510-406-9980
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